SEC Form 4 · accession 0001659166-18-000132
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James A Lico
Officer — President and CEO · Director
Period of report
May 1, 2018
Accepted (ET)
May 3, 2018 · 5:01 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 Stock | May 1, 2018 | I | 14,286 | $72.04 | A | 19,345 | I | By 401(k) |
| Common Stock | May 2, 2018 | M | 75,000 | $12.83 | A | 307,442 | D | |
| Common StockF2 | May 2, 2018 | S | 75,000 | $71.93 | D | 232,442 | D | |
| Common Stock | May 2, 2018 | G | 9,642 | $0.00 | D | 222,800 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F3 | $12.83 | May 2, 2018 | M | 75,000 | D | — | Feb 24, 2019 | Common Stock | 75,000 | 123,298 | D |
Explanation of responses
- F1The 401(k) plan trustee has unilaterally determined to eliminate as an investment option within the 401(k) plan the unitized Danaher stock fund holding shares of common stock of Danaher Corporation ("Danaher") that existed prior to the separation of the Issuer from Danaher on July 2, 2016 (the "Separation"). This transaction relates to the reinvestment of such proceeds into the unitized Fortive stock fund holding shares of the Issuer's common stock within the 401(k) plan.
- F2The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $71.90 to $71.94. The Reporting Person undertakes to provide to the Issuer, any security holder of Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth herein.
- F3Prior to the Separation, one-half of the stock options issued by Danaher on February 24, 2009 ("2009 Danaher Options") to the Reporting Person became exercisable on the fourth and fifth anniversary of the grant date. In connection with the Separation, such fully-vested 2009 Danaher Options that remained unexercised as of July 2, 2016 were converted into fully-vested stock options to purchase 248,298 shares of the Issuer's common stock.