Sec Form 4 Filing - Hulit Barbara B. @ Fortive Corp - 2021-11-30

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Hulit Barbara B.
2. Issuer Name and Ticker or Trading Symbol
Fortive Corp [ FTV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President & CEO of AHS
(Last) (First) (Middle)
6920 SEAWAY BLVD
3. Date of Earliest Transaction (MM/DD/YY)
11/30/2021
(Street)
EVERETT, WA98203
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/30/2021 M( 1 ) 6,999 A $ 24.75 95,292 D
Common Stock 11/30/2021 M( 1 ) 5,400 A $ 31.07 100,692 D
Common Stock 11/30/2021 M( 1 ) 2,400 A $ 30.42 103,092 D
Common Stock 11/30/2021 M( 1 ) 2,000 A $ 35.31 105,092 D
Common Stock 11/30/2021 S( 1 ) 16,799 D $ 76.181( 2 ) 88,293 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/D D/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $ 24.75 11/30/2021 M( 1 ) 6,999 ( 3 ) 02/21/2023 Common Stock 6,999 $ 0 49,062 D
Employee Stock Option (Right to Buy) $ 31.07 11/30/2021 M( 1 ) 5,400 ( 4 ) 02/24/2024 Common Stock 5,400 $ 0 39,814 D
Employee Stock Option (Right to Buy) $ 30.42 11/30/2021 M( 1 ) 2,400 ( 5 ) 05/15/2024 Common Stock 2,400 $ 0 18,505 D
Employee Stock Option (Right to Buy) $ 35.31 11/30/2021 M( 1 ) 2,000 ( 6 ) 02/24/2025 Common Stock 2,000 $ 0 46,098 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Hulit Barbara B.
6920 SEAWAY BLVD
EVERETT, WA98203
President & CEO of AHS
Signatures
Daniel B. Kim, as attorney-in-fact 12/01/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The transaction was effectuated pursuant to a Rule 10b5-1 trading plan.
( 2 )The price reported in Table I, Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $76.000 to $76.395. 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.
( 3 )Prior to the separation of the Issuer from Danaher Corporation ("Danaher") on July 2, 2016 (the "Separation"), the stock options issued by Danaher on February 21, 2013 ("2013 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary of the grant date. In connection with the Separation, the 2013 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 46,609 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020.
( 4 )Prior to the Separation, the stock options issued by Danaher on February 24, 2014 ("February 2014 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary of the grant date. In connection with the Separation, the February 2014 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 37,591 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020.
( 5 )Prior to the Separation, the stock options issued by Danaher on May 15, 2014 ("May 2014 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary of the grant date. In connection with the Separation, the May 2014 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 17,381 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020.
( 6 )Prior to the Separation, the stock options issued by Danaher on February 24, 2015 ("2015 Danaher Options") to the Reporting Person became exercisable ratably on third, fourth and fifth anniversary of the grant date. In connection with the Separation, the 2015 Danaher Options that remained unexercised as of July 2, 2016 were converted into stock options to purchase 39,989 shares of the Issuer's common stock with identical vesting schedule. In addition, the total number of stock options and the exercise price reflect an anti-dilution adjustment applied as a result of the spin-off of Vontier Corporation from the Issuer on October 9, 2020.

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