SEC Form 5 · accession 0001127602-16-035325
AMETEK INC/ · AME
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles D Klein
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 4, 2016 · 3:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001037868
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 23, 2015 | G | 10,000 | $0.00 | A | 17,000 | I | By Trust |
| Common Stock | Dec 23, 2015 | G | 10,000 | $0.00 | D | 144,411 | D | |
| Common Stock | Oct 5, 2015 | G | 1,000 | $0.00 | D | 144,411 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $14.5378 | holding | — | — | — | — | Apr 22, 2016 | Common Stock | 8,820 | 8,820 | D |
| Stock OptionF3 | $19.5867 | holding | — | — | — | — | Apr 28, 2017 | Common Stock | 7,582 | 7,582 | D |
| Stock OptionF4 | $29.8267 | holding | — | — | — | — | May 2, 2018 | Common Stock | 4,050 | 4,050 | D |
| Stock OptionF5 | $34.0467 | holding | — | — | — | — | Apr 30, 2019 | Common Stock | 4,725 | 4,725 | D |
| Stock OptionF6 | $30.74 | holding | — | — | — | — | Jul 25, 2019 | Common Stock | 1,570 | 1,570 | D |
| Stock OptionF7 | $41.74 | holding | — | — | — | — | May 7, 2020 | Common Stock | 5,190 | 5,190 | D |
| Stock OptionF8 | $53.13 | holding | — | — | — | — | May 7, 2021 | Common Stock | 3,740 | 3,740 | D |
| Stock OptionF9 | $52.27 | holding | — | — | — | — | May 5, 2022 | Common Stock | 5,160 | 5,160 | D |
Explanation of responses
- F1This 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.
- F2The stock options will become exercisable in four equal annual installments beginning on April 23, 2010.
- F3The stock options will become exercisable in four equal annual installments beginning on April 29, 2011.
- F4The stock options will become exercisable in four equal installments beginning on May 3, 2012.
- F5The stock options will become exercisable in four equal installments beginning on May 1, 2013.
- F6The stock options will become exercisable in four equal annual installments beginning on July 26, 2013.
- F7The stock options will become exercisable in four equal annual installments beginning on May 8, 2014.
- F8The stock options will become exercisable in four equal annual installments beginning on May 8, 2015.
- F9The stock options will become exercisable in four equal annual installments beginning on May 6, 2016.