SEC Form 5/A · accession 0001659166-17-000262
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
William W Pringle
Officer — Senior Vice President
Period of report
Dec 31, 2016
Accepted (ET)
Dec 8, 2017 · 7:34 pm EST
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 StockF2 | Dec 28, 2016 | G | 193 | $0.00 | D | 5,484 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Due to an administrative error, the Reporting Person did not include in the Reporting Person's original Form 5 for the fiscal year ended December 31, 2016 ("Original Form 5") a donation of 193 shares of the Issuer's Common Stock made by the Reporting Person on December 28, 2016 to a charitable organization ("12/16 Donation"). This amendment to the Original Form 5 is being made to report the 12/16 Donation.
- F2The amount identified in Column 5 of Table I of this amendment represents the number of shares of the Issuer's Common Stock owned by the Reporting Person as of December 28, 2016 following the 12/16 Donation and as of fiscal year ended December 31, 2016. As of December 8, 2017, the amount of shares of the Issuer's Common Stock beneficially owned by the Reporting Person was 13,973.