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Fortive Corp Director's Dealing 2017

Feb 13, 2017

30364_dirs_2017-02-13_d0800609-37ff-4016-bdcd-13b8d8060461.zip

Director's Dealing

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SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: Fortive Corp (FTV)
CIK: 0001659166
Period of Report: 2016-12-31

Reporting Person: RALES MITCHELL P (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2016-12-01 Common Stock, par value $.01 G 358000 $0.00 Disposed 1827053 Direct
2016-12-02 Common Stock, par value $.01 G 142000 $0.00 Disposed 1685053 Direct
2016-12-07 Common Stock, par value $.01 G 138379 $0.00 Disposed 1546674 Direct
2016-12-08 Common Stock, par value $.01 G 61621 $0.00 Disposed 1485053 Direct
2016-12-15 Common Stock, par value $.01 J 2500000 $0.00 Disposed 14500000 Indirect
2016-12-15 Common Stock, par value $.01 J 2500000 $0.00 Acquired 3985053 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock, par value $.01 327587 Indirect
Common Stock, par value $.01 12585 Indirect
Common Stock, par value $.01 68448 Indirect

Footnotes

F1: The total number of shares includes 448,709 shares held through grantor retained annuity trusts of which the Reporting Person is the settlor, trustee and sole annuitant.

F2: These shares were transferred from MPRDHR III LLC to direct ownership for no consideration. The MPRDHR III LLC is a limited liability company of which the Reporting Person is the sole member.

F3: The Reporting Person is the trustee of the Mitchell P. Rales Family Trust.

F4: The reporting person disclaims beneficial ownership of the shares held by his spouse, Emily W. Rales, and this report should not be deemed an admission that the reporting person is the beneficial owner of his spouse's shares for purposes of Section 16 or for any other purpose.