0001659166-17-000189.txt : 20170718
0001659166-17-000189.hdr.sgml : 20170718
20170718163844
ACCESSION NUMBER: 0001659166-17-000189
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170714
FILED AS OF DATE: 20170718
DATE AS OF CHANGE: 20170718
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Weaver Emily A.
CENTRAL INDEX KEY: 0001670835
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37654
FILM NUMBER: 17969893
MAIL ADDRESS:
STREET 1: C/O FORTIVE CORPORATION
STREET 2: 6920 SEAWAY BOULEVARD
CITY: EVERETT
STATE: WA
ZIP: 98203
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_150041031139842.xml
FORM 4
X0306
4
2017-07-14
0
0001659166
Fortive Corp
FTV
0001670835
Weaver Emily A.
6920 SEAWAY BLVD
EVERETT
WA
98203
0
1
0
0
VP - Chief Accounting Officer
Common Stock
2017-07-14
4
M
0
261
A
261
D
Common Stock
2017-07-14
4
F
0
72
64.56
D
189
D
Common Stock
2017-07-14
4
M
0
476
A
665
D
Common Stock
2017-07-14
4
F
0
132
64.56
D
533
D
Restricted Stock Unit
2017-07-14
4
M
0
261
0
D
Common Stock
261.0
520
D
Restricted Stock Unit
2017-07-14
4
M
0
476
0
D
Common Stock
476.0
1426
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, Restricted Stock Units issued by Danaher on July 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 1,042 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on July 15, 2016.
In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 15, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 2,378 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on July 15, 2016.
Daniel B. Kim, as attorney-in-fact
2017-07-18