Statement of Changes in Beneficial Ownership (4)
May 07 2015 - 9:37AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
KLEIN CHARLES D
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2. Issuer Name
and
Ticker or Trading Symbol
AMETEK INC/
[
AME
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
AMERICAN SECURITIES LLC, 299 PARK AVENUE, 34TH FLOOR
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3. Date of Earliest Transaction
(MM/DD/YYYY)
5/6/2015
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(Street)
NEW YORK, NY 10171
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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5/6/2015
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A
(1)
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1190
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A
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$52.27
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174411
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D
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Common Stock
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7000
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I
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By Trust
(2)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option
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$52.27
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5/6/2015
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A
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5160
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(3)
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5/5/2022
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Common Stock
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5160
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$0
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5160
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D
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Stock Option
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$14.5378
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(4)
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4/22/2016
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Common Stock
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8820
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8820
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D
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Stock Option
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$19.5867
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(5)
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4/28/2017
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Common Stock
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7582
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7582
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D
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Stock Option
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$29.8267
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(6)
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5/2/2018
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Common Stock
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4050
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4050
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D
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Stock Option
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$34.0467
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(7)
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4/30/2019
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Common Stock
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4725
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4725
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D
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Stock Option
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$30.74
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(8)
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7/25/2019
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Common Stock
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1570
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1570
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D
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Stock Option
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$41.74
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(9)
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5/7/2020
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Common Stock
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5190
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5190
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D
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Stock Option
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$53.13
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(10)
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5/7/2021
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Common Stock
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3740
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3740
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D
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Explanation of Responses:
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(
1)
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Constitutes restricted stock issued under the AMETEK, Inc. 2011 Omnibus Incentive Compensation Plan.
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(
2)
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This trust is a charitable remainder trust of which the reporting person and his spouse are two of the co-trustees and of which his wife is a beneficiary. The reporting person continues to report beneficial ownership of all of the AMETEK Common Stock held by the trust but disclaims beneficial ownership except to the extent of his wife's pecuniary interest therein.
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(
3)
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The stock options will become exercisable in four equal annual installments beginning on May 6, 2016.
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(
4)
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The stock options will become exercisable in four equal annual installments beginning on April 23, 2010.
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(
5)
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The stock options will become exercisable in four equal annual installments beginning on April 29, 2011.
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(
6)
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The stock options will become exercisable in four equal installments beginning on May 3, 2012.
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(
7)
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The stock options will become exercisable in four equal installments beginning on May 1, 2013.
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(
8)
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The stock options will become exercisable in four equal annual installments beginning on July 26, 2013.
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(
9)
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The stock options will become exercisable in four equal annual installments beginning on May 8, 2014.
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(
10)
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The stock options will become exercisable in four equal annual installments beginning on May 8, 2015.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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KLEIN CHARLES D
AMERICAN SECURITIES LLC
299 PARK AVENUE, 34TH FLOOR
NEW YORK, NY 10171
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X
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Signatures
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/s/Kathryn E. Sena, attorney-in-fact for Mr. Klein
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5/7/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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