0001659166-18-000142.txt : 20180517 0001659166-18-000142.hdr.sgml : 20180517 20180517172647 ACCESSION NUMBER: 0001659166-18-000142 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180515 FILED AS OF DATE: 20180517 DATE AS OF CHANGE: 20180517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gafinowitz Martin CENTRAL INDEX KEY: 0001671495 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 18844197 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_152659239316637.xml FORM 4 X0306 4 2018-05-15 0 0001659166 Fortive Corp FTV 0001671495 Gafinowitz Martin 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 Senior Vice President Common Stock 2018-05-15 4 M 0 1163 A 80874 D Common Stock 2018-05-15 4 F 0 523 76.25 D 80351 D Restricted Stock Unit 2018-05-15 4 M 0 1163 0 D Common Stock 1163.0 1161 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 3,485 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 2018-05-17