Fortive Corp — Director's Dealing 2016

Aug 15, 2016

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Fortive Corp (FTV)
CIK: 0001659166
Period of Report: 2016-08-04

Reporting Person: Hulit Barbara B. (Senior Vice President)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	3182	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Restricted Stock Unit	$		Common Stock (13200.0)		Direct
Restricted Stock Unit	$		Common Stock (6959.0)		Direct
Restricted Stock Unit	$		Common Stock (15045.0)		Direct
Restricted Stock Unit	$		Common Stock (12430.0)		Direct
Restricted Stock Unit	$		Common Stock (6523.0)		Direct
Employee Stock Option (Right to Buy)	$42.55	2026-02-24	Common Stock (63416.0)		Direct
Employee Stock Option (Right to Buy)	$42.47	2025-02-24	Common Stock (39989.0)		Direct
Employee Stock Option (Right to Buy)	$36.58	2024-05-15	Common Stock (17381.0)		Direct
Employee Stock Option (Right to Buy)	$37.36	2024-02-24	Common Stock (37591.0)		Direct
Employee Stock Option (Right to Buy)	$29.76	2023-02-21	Common Stock (46609.0)		Direct
Employee Stock Option (Right to Buy)	$26.1	2022-02-23	Common Stock (48905.0)		Direct
Employee Stock Option (Right to Buy)	$24.2	2021-02-23	Common Stock (34504.0)		Direct
Executive Deferred Incentive Program - Fortive Stock Fund	$		Common Stock (22854.0)		Direct

Footnotes

F1: In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on February 24, 2015 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 13,200 Restricted Stock Units of the Issuer vesting in three equal annual installments beginning on February 24, 2018.

F2: Restricted stock units are payable in shares of common stock on a one-to-one basis.

F3: In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on May 15, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 6,959 Restricted Stock Units of the Issuer vesting in three equal annual installments beginning on May 15, 2017.

F4: In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 24, 2014 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 15,045 Restricted Stock Units of the Issuer vesting in three equal annual installments beginning on February 24, 2017.

F5: In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 21, 2013 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 12,430 Restricted Stock Units of the Issuer vesting in two remaining equal annual installments beginning on February 21, 2017.

F6: In connection with the separation of the Issuer from Danaher, Restricted Stock Units issued by Danaher on February 23, 2012 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 6,523 Restricted Stock Units of the Issuer vesting on February 23, 2017.

F7: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 24, 2016 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 63,416 shares of Issuer's common stock vesting in three equal annual installments beginning on February 24, 2019.

F8: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 24, 2015 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 39,989 shares of Issuer's common stock vesting in three equal annual installments beginning on February 24, 2018.

F9: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on May 15, 2014 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 17,381 shares of Issuer's common stock vesting in three equal annual installments beginning on May 15, 2017.

F10: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 24, 2014 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 37,591 shares of Issuer's common stock vesting in three equal annual installments beginning on February 24, 2017.

F11: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 21, 2013 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 46,609 shares of Issuer's common stock, with options to purchase 15,536 shares fully vested and exercisable at the time of conversion and with the remainder of the options to purchase 31,073 shares vesting in two remaining equal annual installments beginning on February 21, 2017.

F12: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 23, 2012 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into options to purchase 48,905 shares of Issuer's common stock, with options to purchase 32,602 shares fully vested and exercisable at the time of conversion and with the remainder of the options to purchase 16,303 shares vesting on February 23, 2017.

F13: In connection with the separation of the Issuer from Danaher, options to purchase Danaher common stock issued by Danaher on February 23, 2011 to the Reporting Person that remained outstanding as of July 2, 2016 were converted into fully vested and exercisable options to purchase 34,504 shares of Issuer's common stock.

F14: In connection with the separation of the Issuer from Danaher, compensation of the Reporting Person deferred or contributed into Danaher's Executive Deferred Incentive Program was transferred to the Fortive Stock Fund in the Issuer's Executive Deferred Incentive Program ("EDIP Stock Fund") and, as of August 1, 2016, are deemed invested in 22,854 unfunded, fully vested, notional shares of the Issuer's common stock based on the closing price on August 1, 2016 of the Issuer's common stock. Upon termination of employment, the balance held by the Reporting Person in the EDIP Stock Fund will be settled in shares of the Issuer's common stock.

F15: The notional shares convert on a one-to-one basis.