SEC Form 4 · accession 0001094285-17-000016
TELEDYNE TECHNOLOGIES INC · TDY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Cynthia Y Belak
Officer — Vice President and Controller
Period of report
Jan 24, 2017
Accepted (ET)
Jan 26, 2017 · 6:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001094285
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Jan 24, 2017 | A | 807 | $123.03 | A | 5,203 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right-to-buy)F4 | $123.38 | Jan 24, 2017 | A | 8,000 | A | Jan 24, 2018 | Jan 24, 2027 | Common Stock | 8,000 | 8,000 | D |
Explanation of responses
- F1Represents restricted shares issued to the Reporting Person under the 2017-2019 Restricted Stock Award Program.
- F2Price used to calculate Restricted Stock award.
- F3Reporting person holds 4598.8454 shares directly, and includes 110.5574 shares purchased under the Employee Stock Purchase Plan and 923.2880 equivalent shares held in the Teledyne Technologies 401(k) Plan based on information received as of January 20, 2017. Also includes 605 shares held indirectly by the Belak Family Trust.
- F4The options vest in three equal annual installments beginning January 24, 2018. The first vesting date is stated.