0001659166-17-000211.txt : 20170731 0001659166-17-000211.hdr.sgml : 20170731 20170731175701 ACCESSION NUMBER: 0001659166-17-000211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170728 FILED AS OF DATE: 20170731 DATE AS OF CHANGE: 20170731 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: 17994108 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 wf-form4_150153820789184.xml FORM 4 X0306 4 2017-07-28 0 0001659166 Fortive Corp FTV 0001210231 LICO JAMES A 6920 SEAWAY BLVD EVERETT WA 98203 1 1 0 0 President and CEO Common Stock 2017-07-28 4 M 0 30852 A 96682 D Common Stock 2017-07-28 4 F 0 12943 64.47 D 83739 D Common Stock 5052.36 I By 401(k) Restricted Stock Unit 2017-07-28 4 M 0 30852 0 D Common Stock 30852.0 30852 D Restricted stock units are payable in shares of common stock on a one-to-one basis. Based on a plan statement dated as of June 30, 2017. 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 2017-07-31