SEC Form 4 · accession 0001659166-17-000188
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 14, 2017
Accepted (ET)
Jul 18, 2017 · 4:38 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 | Jul 14, 2017 | M | 390 | — | A | 4,245 | D | |
| Common Stock | Jul 14, 2017 | F | 107 | $64.56 | D | 4,138 | D | |
| Common StockF1 | Jul 14, 2017 | M | 357 | — | A | 4,495 | D | |
| Common Stock | Jul 14, 2017 | F | 98 | $64.56 | D | 4,397 | D | |
| Common StockF2 | holding | — | — | — | 347 | 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 UnitF3,F1 | — | Jul 14, 2017 | M | 390 | D | — | — | Common Stock | 390 | 778 | D |
| Restricted Stock UnitF4,F1 | — | Jul 14, 2017 | M | 357 | D | — | — | Common Stock | 357 | 1,070 | D |
Explanation of responses
- F1Restricted stock units are payable in shares of common stock on a one-to-one basis.
- F2Based on the closing price of Issuer common stock on June 30, 2017.
- F3In 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.
- F4In 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.