0001659166-17-000137.txt : 20170517 0001659166-17-000137.hdr.sgml : 20170517 20170517074402 ACCESSION NUMBER: 0001659166-17-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170515 FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hulit Barbara B. CENTRAL INDEX KEY: 0001682154 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 17850288 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BLVD CITY: EVERETT STATE: WA ZIP: 98203 4 1 wf-form4_149502142681570.xml FORM 4 X0306 4 2017-05-15 0 0001659166 Fortive Corp FTV 0001682154 Hulit Barbara B. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 Senior Vice President Common Stock 2017-05-15 4 M 0 2319 A 39228 D Common Stock 2017-05-15 4 F 0 973 62.22 D 38255 D Restricted Stock Unit 2017-05-15 4 M 0 2319 0 D Common Stock 2319.0 4640 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 May 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 6,959 Restricted Stock Units of the Issuer vesting in three remaining equal annual installments beginning on May 15, 2017. Daniel B. Kim, as attorney-in-fact 2017-05-17