0001659166-23-000162.txt : 20230608 0001659166-23-000162.hdr.sgml : 20230608 20230608184802 ACCESSION NUMBER: 0001659166-23-000162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230606 FILED AS OF DATE: 20230608 DATE AS OF CHANGE: 20230608 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dubey Sharmistha CENTRAL INDEX KEY: 0001725506 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37654 FILM NUMBER: 231003358 MAIL ADDRESS: STREET 1: 8750 NORTH CENTRAL EXPRESSWAY SUITE 1400 CITY: DALLAS STATE: TX ZIP: 75231 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 wk-form4_1686264475.xml FORM 4 X0407 4 2023-06-06 0 0001659166 Fortive Corp FTV 0001725506 Dubey Sharmistha 6920 SEAWAY BLVD EVERETT WA 98203 1 0 0 0 0 Common Stock 2023-06-06 4 A 0 2290 0 A 11458 D Common Stock 2023-06-06 4 A 0 1910 65.60 A 13368 D Director Stock Option (Right to Buy) 67.23 2023-06-06 4 A 0 2310 0 A 2023-06-06 2033-06-06 Common Stock 2310 2310 D On June 6, 2023, the Issuer granted to the Reporting Person restricted stock units ("Annual Grant RSUs") of the Issuer in the amount indicated as a portion of the annual equity grant made to the Reporting Person. Since the Annual Grant RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Annual Grant RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2024 annual meeting of the stockholders, with the underlying shares to be delivered upon vesting. On June 6, 2023, the Issuer granted to the Reporting Person restricted stock units ("Deferral RSUs") of the Issuer in the amount indicated, based on a 20-day average price of $65.60, pursuant to deferral election made by the Reporting Person of $125,000 in annual retainer that would otherwise have been paid in cash. Since the Deferral RSUs are payable solely in common stock, they are being reported in Table I of this Form 4. The Deferral RSUs vest on the earlier of the first anniversary of the grant date or the date of the Issuer's 2024 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the first day of the seventh month following the Reporting Person's retirement from the Board of Directors of the Issuer. Daniel B. Kim, attorney-in-fact 2023-06-08