Sec Form 3 Filing - Newcombe Tamara S. @ Fortive Corp - 2022-01-01

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
FORM 3
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
Newcombe Tamara S.
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 PT
(Last) (First) (Middle)
6920 SEAWAY BLVD.
3. Date of Earliest Transaction (MM/DD/YY)
01/01/2022
(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 49,836( 1 ) 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/DD/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) $ 78.03 ( 2 ) 11/15/2031 Common Stock 19,840 D
Employee Stock Option (Right to Buy) $ 67.64 ( 3 ) 02/24/2031 Common Stock 22,370 D
Employee Stock Option (Right to Buy) $ 63.85 ( 4 ) 02/20/2030 Common Stock 18,931 D
Employee Stock Option (Right to Buy) $ 67.65 ( 4 ) 05/15/2029 Common Stock 10,704 D
Employee Stock Option (Right to Buy) $ 67.85 ( 4 ) 02/25/2029 Common Stock 14,132 D
Employee Stock Option (Right to Buy) $ 63.76 ( 4 ) 02/22/2028 Common Stock 14,686 D
Employee Stock Option (Right to Buy) $ 47.61 ( 4 ) 02/23/2027 Common Stock 60,594 D
Executive Deferred Incentive Program - Fortive Stock Fund( 5 ) ( 7 ) ( 6 ) ( 6 ) Common Stock 2,964.87 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Newcombe Tamara S.
6920 SEAWAY BLVD.
EVERETT, WA98203
President & CEO of PT
Signatures
Daniel B. Kim, as attorney-in-fact 01/07/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Includes 36,021 Restricted Stock Units ("RSUs") held by the Reporting Person, with the RSUs subject to time-based vesting provisions and payable in shares of common stock on a one-to-one basis.
( 2 )One half of the options granted vest on each of the third and fourth anniversary of the grant date.
( 3 )Options vests ratably on an annual basis over a four-year period from the date of grant.
( 4 )Options vests ratably on an annual basis over a five-year period from the date of grant.
( 5 )The reported securities are phantom shares in the Fortive stock fund (the "EDIP Stock Fund") under Fortive's Executive Deferred Incentive Program (the "EDIP")
( 6 )The Reporting Person immediately vests in 100% of each voluntary contribution to the EDIP Stock Fund. The Reporting Person will vest in all contributions to the EDIP Stock Fund by the Issuer as follows: 100% upon the earlier of the Reporting Person's death, or upon retirement following at least 5 years of service with the Issuer and reaching the age of 55, or, if earlier, one-tenth per year of participation following five years of participation, in each case in accordance with the EDIP. Upon termination of employment, the vested portion of the EDIP Stock Fund is settled in the Issuer's common stock.
( 7 )The notional shares convert on a one-to-one basis.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.