0001659166-18-000066.txt : 20180223 0001659166-18-000066.hdr.sgml : 20180223 20180223181119 ACCESSION NUMBER: 0001659166-18-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180221 FILED AS OF DATE: 20180223 DATE AS OF CHANGE: 20180223 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: 18638062 MAIL ADDRESS: STREET 1: C/O FORTIVE CORPORATION STREET 2: 6920 SEAWAY BLVD 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_151942745565868.xml FORM 4 X0306 4 2018-02-21 0 0001659166 Fortive Corp FTV 0001682154 Hulit Barbara B. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 Senior Vice President Common Stock 2018-02-21 4 M 0 6215 A 44470 D Common Stock 2018-02-21 4 F 0 1547 76.01 D 42923 D Restricted Stock Unit 2018-02-21 4 M 0 6215 0 D Common Stock 6215.0 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 February 21, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 12,430 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on February 21, 2017. Daniel B. Kim, as attorney-in-fact 2018-02-23