SEC Form 4 · accession 0000899243-18-015525
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mitchell P Rales
Director
Period of report
Jun 5, 2018
Accepted (ET)
Jun 7, 2018 · 5:13 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 StockF1 | Jun 5, 2018 | A | 2,320 | $0.00 | A | 1,060,864 | D | |
| Common StockF2 | Jun 5, 2018 | A | 1,325 | $75.50 | A | 1,062,189 | D | |
| Common StockF3 | holding | — | — | — | 17,000,000 | I | Through single-member LLCs | |
| Common StockF4 | holding | — | — | — | 506,896 | I | Through the Mitchell P. Rales Family Trust | |
| Common StockF5 | holding | — | — | — | 12,585 | I | By spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On June 5, 2018, the Issuer granted to the Reporting Person restricted stock units ("Annual Grant RSUs") of the Issuer in the amount indicated as an 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 2019 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.
- F2On June 5, 2018, 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 $75.50, pursuant to deferral election made by the Reporting Person of $100,000 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 2019 annual meeting of the stockholders, but the underlying shares will not be issued until the earlier of the Reporting Person's death or the fifth year following the Reporting Person's retirement from the Board of Directors of the Issuer.
- 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.
- F5The Reporting Person disclaims beneficial ownership of the shares held by his spouse, Emily W. Rales, 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 purpose.