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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $ 16.8578 | 11/04/2011 | M | 65,000 | (2) | 04/26/2012 | Common Stock | 65,000 | $ 0 | 130,862 | D | ||||
Stock Option | $ 16.8578 | 11/07/2011 | M | 130,862 | (2) | 04/26/2012 | Common Stock | 130,862 | $ 0 | 0 | D | ||||
Stock Option | $ 22.1778 | (5) | 04/25/2013 | Common Stock | 189,922 | 189,922 | D | ||||||||
Stock Option | $ 24.2933 | (6) | 04/23/2014 | Common Stock | 191,325 | 191,325 | D | ||||||||
Stock Option | $ 32.4 | (7) | 04/22/2015 | Common Stock | 194,235 | 194,235 | D | ||||||||
Stock Option | $ 21.8067 | (8) | 04/22/2016 | Common Stock | 300,975 | 300,975 | D | ||||||||
Stock Option | $ 29.38 | (9) | 04/28/2017 | Common Stock | 223,860 | 223,860 | D | ||||||||
Stock Option | $ 44.74 | (10) | 05/02/2018 | Common Stock | 100,560 | 100,560 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HERMANCE FRANK S 1100 CASSATT ROAD P.O. BOX 1764 BERWYN, PA 19312-1177 |
X | CHAIRMAN OF THE BOARD & CEO |
/s/Kathryn E. Sena, attorney-in-fact for Mr. Hermance | 11/07/2011 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On October 24, 2008, the reporting person contributed 135,000 shares (adjusted to reflect a 3-for-2 stock split effective December 21, 2010) of AMETEK Common Stock to a grantor retained annuity trust. Upon termination of the trust on October 24, 2011, 51,163 shares were transferred on October 31, 2011 to a relative and as such the reporting person disclaims beneficial ownership of the shares. The remaining 83,837 shares (of which 27,164 shares were distributed back to the reporting person on October 31, 2011) were previously distributed to the reporting person and continue to be reported in this Form 4 as directly-owned. |
(2) | The stock options will become exercisable in four equal installments beginning on April 27, 2006. |
(3) | The shares were sold at prices ranging from $40.63 to $41.00 per share. Upon request by the SEC staff, the issuer or any security holder of the issuer, the reporting person will provide information regarding the number of shares sold at each separate price. |
(4) | The shares were sold at prices ranging from $40.03 to $40.58 per share. Upon request by the SEC staff, the issuer or any security holder of the issuer, the reporting person will provide information regarding the number of shares sold at each separate price. |
(5) | The stock options will become exercisable in four equal installments beginning on April 26, 2007. |
(6) | The stock options will become exercisable in four equal installments beginning on April 24, 2008. |
(7) | The stock options will become exercisable in four equal installments beginning on April 23, 2009. |
(8) | The stock options will become exercisable in four equal annual installments beginning on April 23, 2010. |
(9) | The stock options will become exercisable in four equal annual installments beginning on April 29, 2011. |
(10) | The stock options will become exercisable in four equal installments beginning on May 3, 2012. |