0001659166-19-000057.txt : 20190226 0001659166-19-000057.hdr.sgml : 20190226 20190226183400 ACCESSION NUMBER: 0001659166-19-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190222 FILED AS OF DATE: 20190226 DATE AS OF CHANGE: 20190226 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: 19635041 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_155122402653949.xml FORM 4 X0306 4 2019-02-22 0 0001659166 Fortive Corp FTV 0001670836 Walker Stacey A. 6920 SEAWAY BLVD EVERETT WA 98203 0 1 0 0 SVP - Human Resources Common Stock 2019-02-22 4 M 0 2991 A 16036 D Common Stock 2019-02-22 4 F 0 1208 81.37 D 14828 D Common Stock 2019-02-25 4 S 0 1783 81.87 D 13045 D Restricted Stock Unit 2019-02-22 4 M 0 2991 0 D Common Stock 2991.0 5980 D Executive Deferred Incentive Program - Fortive Stock Fund 0.0 2019-02-22 4 A 0 663.622 81.73 A Common Stock 663.622 3020.226 D 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. The transaction was effectuated pursuant to a Rule 10b5-1 trading plan. 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. Compensation deferred or contributed into the Fortive stock fund (the "EDIP Stock Fund") under Fortive's Executive Deferred Incentive Program (the "EDIP") is deemed to be invested in a number of unfunded, notional shares of the Issuer's common stock based on the closing price of such common stock as reported on the NYSE on the date such compensation is credited to the EDIP Stock Fund (or the closing price for the immediately preceding business day, if such date is not a business day), which closing price is shown in Table II, Column 8. The notional shares convert on a one-to-one basis. The Reporting Person immediately vests in 100% of each voluntary contribution to the EDIP Stock Fund. The Reporting Person will vest in all contributions to the EDIP Stock Fund by the Issuer as follows: 100% upon the earlier of the Reporting Person's death, or upon retirement following at least 5 years of service with the Issuer and reaching the age of 55, or, if earlier, one-tenth per year of participation following five years of participation, in each case in accordance with the EDIP. Upon termination of employment, the vested portion of the EDIP Stock Fund is settled in the Issuer's common stock. Daniel B. Kim, as attorney-in-fact 2019-02-26