0001209191-23-051698.txt : 20231003 0001209191-23-051698.hdr.sgml : 20231003 20231003185543 ACCESSION NUMBER: 0001209191-23-051698 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: Aquino Melissa CENTRAL INDEX KEY: 0001949551 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41770 FILM NUMBER: 231305976 MAIL ADDRESS: STREET 1: 3100 SANDERS ROAD STREET 2: SUITE 301 CITY: NORTHBROOK STATE: IL ZIP: 60062 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 0001949551 Aquino Melissa C/O VERALTO CORPORATION 225 WYMAN ST., SUITE 250 WALTHAM MA 02451 0 1 0 0 SVP, Water Quality 0 Common Stock 2023-09-30 4 A 0 28841 A 29388 D Employee stock option (right to buy) 83.23 2023-09-30 4 A 0 21108 A 2033-02-24 Common stock 21108 21108 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 Veralto Exec Deferred Incentive Program - Veralto Stock Fund 0.00 2023-09-30 4 A 0 2 A Common stock 2 2 D Veralto Deferred Compensation Program - Veralto Stock Fund 0.00 2023-09-30 4 A 0 663 A Common stock 663 663 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 restricted stock units ("RSUs") issued by Danaher and converted into RSUs of Veralto which remain unvested as of the Spin-off, including (i) 7,813 RSUs vesting in four equal annual installments beginning on February 24, 2024 and (ii) 21,028 RSUs vesting as follows: 50% on February 24, 2024 and the remaining 50% in two equal annual installments beginning on February 24, 2025. Includes shares received in the Spin-off with respect to shares of Danaher common stock held prior to the Spin-off. Represents stock options that vest in three equal annual installments beginning on February 24, 2024, subject to continued employment. Represents stock options that vest as follows: 50% on February 24, 2024 and the remaining 50% in two equal annual installments beginning on February 24, 2025, subject to continued employment. Represents phantom shares in Veralto's stock fund (the "EDIP Stock Fund") under the Veralto Corporation Executive Deferred Incentive 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 program are based upon the provisions of the respective plan, which provisions are summarized in the Registration Statement on Form 10 filed by Veralto with the Securities and Exchange Commission. Represents phantom shares in Veralto's stock fund (the "DCP Stock Fund") under the Veralto Corporation Deferred Compensation Program (the "DCP"). Upon termination of employment, the vested portion of the DCP Stock Fund is settled in Veralto common stock. /s/ James Tanaka, as attorney-in-fact 2023-10-03