0001659166-16-000027.txt : 20160801 0001659166-16-000027.hdr.sgml : 20160801 20160801080338 ACCESSION NUMBER: 0001659166-16-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160729 FILED AS OF DATE: 20160801 DATE AS OF CHANGE: 20160801 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) 347-6100 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LICO JAMES A CENTRAL INDEX KEY: 0001210231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 161795860 4 1 wf-form4_147005300542781.xml FORM 4 X0306 4 2016-07-29 0 0001659166 Fortive Corp FTV 0001210231 LICO JAMES A 6920 SEAWAY BLVD EVERETT WA 98203 1 1 0 0 President and CEO Common Stock 2016-07-29 4 M 0 30850 A 30850 D Common Stock 2016-07-29 4 F 0 12942 48.21 D 17908 D Common Stock 5341 I By 401(k) Restricted Stock Unit 2016-07-29 4 M 0 30850 0 D Common Stock 30850.0 61704 D Restricted stock units are payable in shares of common stock on a one-to-one basis. Based on the closing price of the Issuer's common stock of $48.21 on July 29, 2016. In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on July 30, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 92,554 Restricted Stock Units of the Issuer vesting in three remaining equal annual installments beginning on July 29, 2016. Daniel B. Kim, as attorney-in-fact 2016-07-31