0001659166-18-000134.txt : 20180509 0001659166-18-000134.hdr.sgml : 20180509 20180509165924 ACCESSION NUMBER: 0001659166-18-000134 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180507 FILED AS OF DATE: 20180509 DATE AS OF CHANGE: 20180509 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: 18819196 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_152589955024953.xml FORM 4 X0306 4 2018-05-07 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 2018-05-07 4 M 0 2049 A 10627 D Common Stock 2018-05-07 4 F 0 500 73.54 D 10127 D Common Stock 2018-05-08 4 M 0 14502 42.55 A 24629 D Common Stock 2018-05-08 4 S 0 18354 73.80 D 6275 D Restricted Stock Unit 2018-05-07 4 M 0 2049 0 D Common Stock 2049.0 0 D Employee Stock Option (Right to Buy) 42.55 2018-05-08 4 M 0 14502 0 D 2026-02-24 Common Stock 14502.0 21756 D Restricted stock units are payable in shares of common stock on a one-to-one basis. The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $73.74 to $73.82. The Reporting Person undertakes to provide to the Issuer, any security holder of Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein. In connection with the separation (the "Separation") of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on May 7, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 4,098 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on May 5, 2017. In connection with the Separation, options to purchase Danaher common stock issued by Danaher on February 24, 2016 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 36,258 shares of Issuer's common stock vesting in five equal annual installments beginning on February 24, 2017. Daniel B. Kim, as attorney-in-fact 2018-05-09