SEC Form 4 · accession 0001659166-16-000013
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William W Pringle
Officer — Senior Vice President
Period of report
Jul 25, 2016
Accepted (ET)
Jul 26, 2016 · 5:08 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 25, 2016 | M | 2,817 | — | A | 5,663 | D | |
| Common Stock | Jul 25, 2016 | F | 771 | $48.98 | D | 4,892 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1,F3 | — | Jul 25, 2016 | M | 2,817 | D | — | — | Common Stock | 2,817 | 2,816 | 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.
- F3In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on July 25, 2012 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 5,633 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on July 25, 2016.