SEC Form 4 · accession 0001659166-17-000127
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Emily A. Weaver
Officer — VP - Chief Accounting Officer
Period of report
May 5, 2017
Accepted (ET)
May 8, 2017 · 4:51 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 | May 5, 2017 | M | 2,049 | — | A | 4,310 | D | |
| Common Stock | May 5, 2017 | F | 561 | $63.14 | D | 3,749 | 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,F2 | — | May 5, 2017 | M | 2,049 | D | — | — | Common Stock | 2,049 | 2,049 | D |
Explanation of responses
- F1Restricted stock units are payable in shares of common stock on a one-to-one basis.
- F2In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on May 7, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 4,098 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on May 5, 2017.