0001659166-16-000017.txt : 20160728 0001659166-16-000017.hdr.sgml : 20160728 20160728084528 ACCESSION NUMBER: 0001659166-16-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160726 FILED AS OF DATE: 20160728 DATE AS OF CHANGE: 20160728 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: Walker Stacey A. CENTRAL INDEX KEY: 0001670836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 161788510 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BOULEVARD CITY: EVERETT STATE: WA ZIP: 98203 4 1 wf-form4_146970991594208.xml FORM 4 X0306 4 2016-07-26 0 0001659166 Fortive Corp FTV 0001670836 Walker Stacey A. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 SVP - Human Resources Common Stock 2016-07-26 4 M 0 193 A 1015 D Common Stock 2016-07-26 4 F 0 53 49.28 D 962 D Common Stock 345 I By 401(k) Restricted Stock Unit 2016-07-26 4 M 0 193 0 D Common Stock 193.0 0 D Restricted stock units are payable in shares of common stock on a one-to-one basis. In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on July 26, 2011 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 193 Restricted Stock Units of the Issuer vesting on July 26, 2016. Daniel B. Kim, as attorney-in-fact 2016-07-27