SEC Form 4 · accession 0001659166-17-000135
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter C Underwood
Officer — SVP - General Counsel
Period of report
May 15, 2017
Accepted (ET)
May 17, 2017 · 7:43 am 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 15, 2017 | M | 3,891 | — | A | 3,891 | D | |
| Common StockF1 | May 15, 2017 | M | 1,911 | — | A | 5,802 | D | |
| Common Stock | May 15, 2017 | F | 1,588 | $62.22 | D | 4,214 | 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 15, 2017 | M | 3,891 | D | — | — | Common Stock | 3,891 | 7,782 | D |
| Restricted Stock UnitF1,F3 | — | May 15, 2017 | M | 1,911 | D | — | — | Common Stock | 1,911 | 7,641 | 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 15, 2016 to the Reporting Person vesting in three equal annual installments that remained unvested as of July 2, 2016 were converted into 11,673 Restricted Stock Units of the Issuer vesting in three equal annual installments beginning on May 15, 2017.
- F3In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on May 15, 2016 to the Reporting Person vesting in five equal annual installments that remained unvested as of July 2, 2016 were converted into 9,552 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on May 15, 2017.