0000899243-20-015089.txt : 20200603 0000899243-20-015089.hdr.sgml : 20200603 20200603163022 ACCESSION NUMBER: 0000899243-20-015089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200601 FILED AS OF DATE: 20200603 DATE AS OF CHANGE: 20200603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RALES MITCHELL P CENTRAL INDEX KEY: 0001015014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 20940410 BUSINESS ADDRESS: STREET 1: 11790 GLEN ROAD CITY: POTOMAC STATE: MD ZIP: 20854 BUSINESS PHONE: 301-299-2225 MAIL ADDRESS: STREET 1: 11790 GLEN ROAD CITY: POTOMAC STATE: MD ZIP: 20854 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fortive Corp CENTRAL INDEX KEY: 0001659166 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6920 SEAWAY BLVD. CITY: EVERETT STATE: WA ZIP: 98203 BUSINESS PHONE: (425) 446-5000 MAIL ADDRESS: STREET 1: 6920 SEAWAY BLVD. CITY: EVERETT STATE: WA ZIP: 98203 FORMER COMPANY: FORMER CONFORMED NAME: TGA Holding Corp. DATE OF NAME CHANGE: 20151123 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-06-01 0 0001659166 Fortive Corp FTV 0001015014 RALES MITCHELL P 11790 GLEN ROAD POTOMAC MD 20854 1 0 0 0 Common Stock 2020-06-01 4 A 0 2970 0.00 A 3014460 D Common Stock 2020-06-01 4 A 0 1360 58.93 A 3015820 D Common Stock 8000000 I Through single-member LLCs On June 1 2020, the Issuer granted to the Reporting Person restricted stock units ("Annual Grant RSUs") of the Issuer in the amount indicated as a portion of the annual equity grant made to the Reporting Person. Since the Annual Grant RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Annual Grant RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2021 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer. On June 1, 2020, the Issuer granted to the Reporting Person restricted stock units ("Deferral RSUs") of the Issuer in the amount indicated, based on a 20-day average price of $58.93, pursuant to deferral election made by the Reporting Person of $80,000 in annual retainer that would otherwise have been paid in cash. Since the Deferral RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Deferral RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2021 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer. The reported shares are held through single-member LLCs, of which a revocable trust with the Reporting Person as the sole trustee and beneficiary is the sole member. /s/ Mitchell P. Rales 2020-06-03