0001659166-18-000084.txt : 20180226 0001659166-18-000084.hdr.sgml : 20180226 20180226205529 ACCESSION NUMBER: 0001659166-18-000084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180222 FILED AS OF DATE: 20180226 DATE AS OF CHANGE: 20180226 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: 18642630 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_151969651380857.xml FORM 4 X0306 4 2018-02-22 0 0001659166 Fortive Corp FTV 0001670836 Walker Stacey A. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 SVP - Human Resources Common Stock 2018-02-22 4 A 0 8845 0 A 9406 D Common Stock 2018-02-22 4 A 0 4200 A 13606 D Common Stock 2018-02-23 4 M 0 2991 0 A 16597 D Common Stock 2018-02-22 4 F 0 759 77.14 D 15838 D Common Stock 0 I By 401(k) Employee Stock Option (Right to Buy) 76.68 2018-02-22 4 A 0 25430 0 A 2028-02-22 Common Stock 25430.0 25430 D Restricted Stock Unit 2018-02-23 4 M 0 2991 0 D Common Stock 2991.0 8971 D On February 23, 2017, the Compensation Committee (the "Committee") of the Issuer's Board of Directors awarded the Reporting Person Performance-Based Restricted Stock Awards ("RSAs"). This transaction is being reported in connection with the determination by the Committee on February 22, 2018 that the performance criteria of the RSAs have been achieved. The RSAs remain subject to time-based vesting provisions. On February 22, 2018, the Committee awarded the Reporting Person Restricted Stock Units ("RSUs"). This transaction is being reported to identify the portion of the RSUs that are subject only to time-based vesting provisions. Pursuant to the terms of the award, additional RSUs may be issued upon determination by the Committee that the corresponding performance criteria have been achieved. Restricted stock units are payable in shares of common stock on a one-to-one basis. This transaction relates to the withholding of shares for tax purposes in connection with the vesting and distribution of restricted stock units. One third of the options granted vest on each of the third, fourth, and fifth anniversary of the grant date. In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on February 24, 2016 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 14,953 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on February 24, 2017. Daniel B. Kim, as attorney-in-fact 2018-02-26