SEC Form 4 · accession 0001659166-16-000007
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stacey A. Walker
Officer — SVP - Human Resources
Period of report
Jul 15, 2016
Accepted (ET)
Jul 18, 2016 · 4:35 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,F2 | Jul 15, 2016 | M | 390 | — | A | 516 | D | |
| Common Stock | Jul 15, 2016 | F | 107 | $51.23 | D | 409 | D | |
| Common StockF1 | Jul 15, 2016 | M | 357 | — | A | 766 | D | |
| Common Stock | Jul 15, 2016 | F | 98 | $51.23 | D | 668 | D | |
| Common StockF3 | holding | — | — | — | 345 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF4,F1 | — | Jul 15, 2016 | M | 390 | D | — | — | Common Stock | 390 | 1,168 | D |
| Restricted Stock UnitF5,F1 | — | Jul 15, 2016 | M | 357 | D | — | — | Common Stock | 357 | 1,427 | D |
Explanation of responses
- F1Restricted stock units are payable in shares of common stock on a one-to-one basis.
- F2Includes shares of Issuer common stock received in connection with the separation of Issuer from Danaher Corporation ("Danaher") and the distribution, by means of a pro rata dividend, of Issuer's common stock held by Danaher to the Danaher stockholders of record as of June 15, 2016 (except fractional shares, which were aggregated and sold into the public market and the proceeds distributed to Danaher stockholders that otherwise would have received such fractional shares) in an exempt transaction pursuant to Rule 16a-9.
- F3Based on the closing price of Issuer common stock on July 15, 2016.
- F4In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 1,558 Restricted Stock Units of the Issuer vesting in four remaining equal annual installments beginning on July 15, 2016.
- F5In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 15, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 1,784 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on July 15, 2016.