SEC Form 4
FORM 4
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 | |||
OMB APPROVAL | |||
Washington, D.C. 20549 | |||
OMB Number: | 3235-0287 | ||
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP | Estimated average burden | ||
hours per response: | 0.5 | ||
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol | 5. Relationship of Reporting Person(s) to Issuer | |||||||||||||||||||||||||||||||
VARET ELIZEBETH R | AMETEK INC/[ AME ] | (Check all applicable) | |||||||||||||||||||||||||||||||
X | Director | 10% Owner | |||||||||||||||||||||||||||||||
3. Date of Earliest Transaction (Month/Day/Year) | |||||||||||||||||||||||||||||||||
Officer (give title | Other (specify | ||||||||||||||||||||||||||||||||
08/15/2019 | |||||||||||||||||||||||||||||||||
(Last) | (First) | (Middle) | below) | below) | |||||||||||||||||||||||||||||
P.O. BOX 287440 | |||||||||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable | ||||||||||||||||||||||||||||||||
Line) | |||||||||||||||||||||||||||||||||
(Street) | X Form filed by One Reporting Person | ||||||||||||||||||||||||||||||||
NEW YORK | NY | 10128-7440 | 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 | 2A. Deemed | 3. | 4. Securities Acquired (A) or | 5. Amount of | 6. Ownership | 7. Nature | ||||||||||||||||||||||||||
Date | Execution Date, | Transaction | Disposed Of (D) (Instr. 3, 4 and 5) | Securities | Form: Direct | of Indirect | |||||||||||||||||||||||||||
(Month/Day/Year) | if any | Code (Instr. | Beneficially | (D) or | Beneficial | ||||||||||||||||||||||||||||
(Month/Day/Year) | 8) | Owned | Indirect (I) | Ownership | |||||||||||||||||||||||||||||
Following | (Instr. 4) | (Instr. 4) | |||||||||||||||||||||||||||||||
Code | V | Amount | (A) or | Price | Reported | ||||||||||||||||||||||||||||
Transaction(s) | |||||||||||||||||||||||||||||||||
(D) | |||||||||||||||||||||||||||||||||
(Instr. 3 and 4) | |||||||||||||||||||||||||||||||||
Common Stock | 08/15/2019 | D | 5,000 | D | $84.467(1) | 118,445 | I | By | |||||||||||||||||||||||||
Trust(2) | |||||||||||||||||||||||||||||||||
Common Stock | 08/16/2019 | D | 2,000 | D | $84.84 | 116,445 | I | By | |||||||||||||||||||||||||
Trust(2) | |||||||||||||||||||||||||||||||||
Common Stock | 99,670 | D | |||||||||||||||||||||||||||||||
By | |||||||||||||||||||||||||||||||||
Common Stock | 200 | I | Adult | ||||||||||||||||||||||||||||||
Child(3) | |||||||||||||||||||||||||||||||||
Common Stock | 67,500 | I | By | ||||||||||||||||||||||||||||||
Trust(4) | |||||||||||||||||||||||||||||||||
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||||||||||||||||||||
(e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||||||||||||||||||||
1. Title of | 2. | 3. Transaction | 3A. Deemed | 4. | 5. Number | 6. Date Exercisable and | 7. Title and | 8. Price | 9. Number of | 10. | 11. Nature | ||||||||||||||||||||||
Derivative | Conversion | Date | Execution Date, | Transaction | of | Expiration Date | Amount of | of | derivative | Ownership | of Indirect | ||||||||||||||||||||||
Security | or Exercise | (Month/Day/Year) | if any | Code (Instr. | Derivative | (Month/Day/Year) | Securities | Derivative | Securities | Form: | Beneficial | ||||||||||||||||||||||
(Instr. 3) | Price of | (Month/Day/Year) | 8) | Securities | Underlying | Security | Beneficially | Direct (D) | Ownership | ||||||||||||||||||||||||
Derivative | Acquired | Derivative | (Instr. 5) | Owned | or Indirect | (Instr. 4) | |||||||||||||||||||||||||||
Security | (A) or | Security (Instr. | Following | (I) (Instr. | |||||||||||||||||||||||||||||
Disposed | 3 and 4) | Reported | 4) | ||||||||||||||||||||||||||||||
of (D) | Transaction(s) | ||||||||||||||||||||||||||||||||
(Instr. 3, 4 | (Instr. 4) | ||||||||||||||||||||||||||||||||
and 5) | |||||||||||||||||||||||||||||||||
Amount | |||||||||||||||||||||||||||||||||
or | |||||||||||||||||||||||||||||||||
Number | |||||||||||||||||||||||||||||||||
Date | Expiration | of | |||||||||||||||||||||||||||||||
Code | V | (A) | (D) | Exercisable | Date | Title | Shares |
Explanation of Responses:
- The shares were sold at prices ranging from $84.45 to $84.51. 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.
- Held by trust of which the reporting person is a co-trustee.
- The reporting person is a managing member of the limited liability company which holds the securities for the benefit of the reporting person's adult child. The reporting person disclaims any beneficial ownership of these securities.
- These shares are held in a trust for the benefit of the reporting person's spouse. The reporting person disclaims beneficial ownership of these securities.
/s/ Lynn Carino, attorney-in- | 08/19/2019 | |
fact for Elizabeth R. Varet | ||
** Signature of Reporting Person Date |
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).
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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). 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.
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Ametek Inc. published this content on 19 August 2019 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 19 August 2019 13:26:09 UTC