0001209191-23-051701.txt : 20231003 0001209191-23-051701.hdr.sgml : 20231003 20231003185720 ACCESSION NUMBER: 0001209191-23-051701 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230930 FILED AS OF DATE: 20231003 DATE AS OF CHANGE: 20231003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Honeycutt Jennifer CENTRAL INDEX KEY: 0001834046 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41770 FILM NUMBER: 231305985 MAIL ADDRESS: STREET 1: 2200 PENNSYLVANIA AVENUE STREET 2: SUITE 800W CITY: WASHINGTON STATE: DC ZIP: 20037 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Veralto Corp CENTRAL INDEX KEY: 0001967680 STANDARD INDUSTRIAL CLASSIFICATION: INSTRUMENTS FOR MEAS & TESTING OF ELECTRICITY & ELEC SIGNALS [3825] IRS NUMBER: 921941413 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 225 WYMAN ST. STREET 2: SUITE 250 CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: (202) 828-0850 MAIL ADDRESS: STREET 1: 225 WYMAN ST. STREET 2: SUITE 250 CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0508 4 2023-09-30 0 0001967680 Veralto Corp VLTO 0001834046 Honeycutt Jennifer C/O VERALTO CORPORATION 225 WYMAN ST., SUITE 250 WALTHAM MA 02451 1 1 0 0 President and CEO 0 Common Stock 2023-09-30 4 A 0 101975 A 103150 D Common Stock 2023-10-02 4 A 0 17624 0.00 A 17624 D Employee stock option (right to buy) 22.04 2023-09-30 4 A 0 28019 A 2026-02-24 Common stock 28019 28019 D Employee stock option (right to buy) 26.61 2023-09-30 4 A 0 11553 A 2026-11-15 Common stock 11553 11553 D Employee stock option (right to buy) 28.76 2023-09-30 4 A 0 31938 A 2027-02-24 Common stock 31938 31938 D Employee stock option (right to buy) 33.19 2023-09-30 4 A 0 34691 A 2028-02-24 Common stock 34691 34691 D Employee stock option (right to buy) 37.92 2023-09-30 4 A 0 39570 A 2029-02-24 Common stock 39570 39570 D Employee stock option (right to buy) 43.79 2023-09-30 4 A 0 11104 A 2029-05-15 Common stock 11104 11104 D Employee stock option (right to buy) 52.40 2023-09-30 4 A 0 38523 A 2030-02-24 Common stock 38523 38523 D Employee stock option (right to buy) 62.93 2023-09-30 4 A 0 36068 A 2030-07-15 Common stock 36068 36068 D Employee stock option (right to buy) 74.51 2023-09-30 4 A 0 9877 A 2031-02-24 Common stock 9877 9877 D Employee stock option (right to buy) 74.51 2023-09-30 4 A 0 53309 A 2031-02-24 Common stock 53309 53309 D Employee stock option (right to buy) 90.73 2023-09-30 4 A 0 51175 A 2032-02-24 Common stock 51175 51175 D Employee stock option (right to buy) 83.23 2023-09-30 4 A 0 56829 A 2033-02-24 Common stock 56829 56829 D Employee stock option (right to buy) 85.12 2023-09-30 4 A 0 33183 A 2033-10-02 Common stock 33183 33183 D Employee stock option (right to buy) 85.12 2023-10-02 4 A 0 6637 A 2033-10-02 Common stock 6637 6637 D Veralto Exec Deferred Incentive Program - Veralto Stock Fund 0.00 2023-09-30 4 A 0 44160 A Common stock 44160 44160 D Represents equity awards originally granted by Danaher Corporation ("Danaher") that have been converted into equity awards of Veralto Corporation ("Veralto") in connection with the spin-off of Veralto from Danaher (the "Spin-off"). Represents performance stock units and restricted stock units ("RSUs") issued by Danaher and converted into RSUs of Veralto. 77,342 RSUs have vested and 24,633 remain unvested as of the Spin-off, including (i) 12,273 RSUs vesting in five equal annual installments beginning on February 24, 2020, (ii) 3,443 RSUs vesting in three equal annual installments beginning on May 15, 2022 and (iii) 21,028 RSUs vesting in four equal annual installments beginning on February 24, 2024. The exact number of such shares that relate to previously granted performance share units is estimated for purposes of this Form 4; however the final performance metrics have not yet been finally calculated and could result in a change of the number of shares. If the number of shares changes, an amended form 4 will be filed by the Reporting Person. Includes shares received in the Spin-off with respect to shares of Danaher common stock held prior to the Spin-off. Represents (i) 14,686 RSUs granted in connection with the Separation that will vest in two equal annual installments beginning October 2, 2026, and (ii) 2,938 RSUs granted in connection with the Separation that will vest in three equal annual installments beginning on October 2, 2024, subject to continued employment. Represent stock options that are fully vested. Represents stock options that vest in five equal annual installments beginning on February 24, 2020, subject to continued employment. Represents stock options that vest in three equal annual installments beginning on May 15, 2022, subject to continued employment. Represents stock options that vest in three equal annual installments beginning on February 24, 2023, subject to continued employment. Represents stock options that vest in three equal annual installments beginning on July 15, 2023, subject to continued employment. Represents stock options that vest in three equal annual installments beginning on February 24, 2024, subject to continued employment. Represents stock options that vest in two equal annual installments beginning on February 24, 2025, subject to continued employment. Represents stock options that vest in two equal annual installments beginning on February 24, 2026, subject to continued employment. Represents stock options granted in connection with the Separation that will vest in two equal annual installments beginning on October 2, 2026, subject to continued employment. Represents employee stock options granted in connection with the Separation that will vest in three equal annual installments beginning on October 2, 2024, subject to continued employment. Represents phantom shares in Veralto's stock fund (the "EDIP Stock Fund") under the Veralto Corporation Executive Deferred Compensation Program (the "EDIP"). Upon termination of employment, the vested portion of the EDIP Stock Fund is settled in Veralto common stock. The notional shares convert on a one-for-one basis. The vesting terms and manner and form of distribution of amounts contributed or deferred under the EDIP are based upon the provisions of the plan, which provisions are summarized in the Registration Statement on Form 10 filed by Veralto with the Securities and Exchange Commission. /s/ James Tanaka, as attorney-in-fact 2023-10-03