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