SEC Form 4 · accession 0000899243-17-018436
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mitchell P Rales
Director
Period of report
Jul 14, 2017
Accepted (ET)
Jul 18, 2017 · 4:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001659166
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01F2 | Jul 14, 2017 | J | 68,442 | $0.00 | D | 0 | I | By 401(k) |
| Common Stock, par value $0.01 | holding | — | — | — | 3,987,853 | D | ||
| Common Stock, par value $0.01F3 | holding | — | — | — | 14,500,000 | I | Through single-member LLCs | |
| Common Stock, par value $0.01F4 | holding | — | — | — | 327,587 | I | Through the Mitchell P. Rales Family Trust | |
| Common Stock, par value $0.01F5 | holding | — | — | — | 12,585 | I | By spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The 401(k) plan trustee has unilaterally determined to eliminate the unitized stock fund holding issuer shares as an investment option within the 401(k) plan as of the reported transaction date. The 401(k) plan trustee will reinvest the proceeds into another investment option within the 401(k) plan.
- F2Represents the approximate number of issuer shares represented by the Reporting Person's holdings in the unitized stock fund of the 401(k) plan as of July 14, 2017.
- F3The reported shares are held through single-member LLCs. The Reporting Person is the sole member of these LLCs.
- F4The Reporting Person is the trustee of the Mitchell P. Rales Family Trust. The Reporting Person disclaims beneficial ownership of the shares held by the Mitchell P. Rales Family Trust, except to the extent of the Reporting Person's pecuniary interest.
- F5The Reporting Person disclaims beneficial ownership of the shares held by his spouse and this report should not be deemed an admission that the Reporting Person is the beneficial owner of his spouse's shares for purposes of Section 16 or for any other purposes.