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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 | ||||||||
Restricted Stock Units (1) (2) | $ 0 (3) | 01/23/2018 | A | 643 | 01/23/2019 | 01/23/2021 | Common Stock | 643 | $ 0 | 643 | D | ||||
Stock Option right-to-buy | $ 192 | 01/23/2018 | A | 9,461 | 01/23/2019 | 01/23/2028 | Common Stock | 9,461 | $ 0 | 9,461 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Roks Edwin 1049 CAMINO DOS RIOS THOUSAND OAKS, CA 91360 |
VP-Digital Imaging Group |
Edwin Roks by S. Paul Sassalos pursuant to a Power of Attorney previously filed with the SEC | 01/25/2018 | |
**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) | Represents restricted stock units issued to the Reporting Person under the 2018-2020 Restricted Stock Award Program. Vested shares will be delivered to the Reporting Person following the vesting date. |
(2) | Each Restricted Stock Unit represents a contingent right to receive one share of Teledyne Common Stock. |
(3) | In determining the number of units the price of $186.74 was used. |