SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
| AMETEK, INC., 1100 CASSATT ROAD |
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(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
04/02/2024
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3. Issuer Name and Ticker or Trading Symbol
AMETEK INC/
[ AME ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
| X |
Officer (give title below) |
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Other (specify below) |
| Executive VP- CFO |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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| Table I - Non-Derivative Securities Beneficially Owned |
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| 1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Common Stock |
4,475 |
D |
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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 Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock Option |
|
05/09/2029 |
Common Stock |
3,965 |
85.45 |
D |
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| Stock Option |
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03/20/2030 |
Common Stock |
4,954 |
63.37 |
D |
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| Stock Option |
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03/11/2031 |
Common Stock |
2,874 |
121.91 |
D |
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| Stock Option |
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03/21/2032 |
Common Stock |
3,494 |
134.69 |
D |
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| Stock Option |
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03/22/2033 |
Common Stock |
2,339 |
138.46 |
D |
|
| Stock Option |
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03/19/2034 |
Common Stock |
7,843 |
181.93 |
D |
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| Stock Option |
|
05/08/2028 |
Common Stock |
4,178 |
73.45 |
D |
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| Explanation of Responses: |
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Lynn Carino, attorney-in-fact for Dalip M Puri |
04/02/2024 |
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** 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
5
(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). |
| 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. |
DALIP M. PURI
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes and
appoints each of Robert S. Feit and Lynn Carino, each acting individually, as
the undersigned's true and lawful attorney-in-fact, with full power and
authority as hereinafter described on behalf of and in the name,
place and stead of the undersigned to:
(1) obtain EDGAR access codes and prepare, execute, acknowledge, deliver
and file Forms 3, 4, and 5 (including amendments thereto) with respect to
the securities of AMETEK, Inc., a Delaware Corporation (the "Company"),
with the United States Securities and Exchange Commission, any
national securities exchanges and the Company, as considered necessary
or advisable under Section 16(a) of the Securities Exchange Act of 1934
and the rules and regulations promulgated thereunder, as amended
from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the
undersigned's behalf, information on transactions in the Company's
securities from any third party, including brokers, employee benefit
plan administrators and trustees, and the undersigned hereby
authorizes any such person to release any such information to the
undersigned and approves and ratifies any such release of information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of
the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require,
each such attorney-in? tact to act in their discretion on
information provided to such attorney-in-fact without independent
verification of such information;
(2) any documents prepared and/or executed by either such
attorney-in-fact on behalf of the undersigned pursuant to this Power
of Attorney will be in such form and will contain such information
and disclosure as such attorney-in-fact, in his or her discretion,
deems necessary or desirable;
(3) neither the Company nor either of such attorneys-in-fact assumes
(i) any liability for the undersigned's responsibility to comply with the
requirement of the Exchange Act,
(ii) any liability of the undersigned for any failure to comply
with such requirements, or
(iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned
from responsibility for compliance with the undersigned's obligations
under the Exchange Act, including without limitation the reporting
requirements under Section 16 of the Exchange Act.
The undersigned hereby gives and grants each of the foregoing
attorneys-in-fact full power and authority to do and perform all and
every act and thing whatsoever requisite, necessary or appropriate
to be done in and about the foregoing matters as fully to all
intents and purposes as the undersigned might or could do if
present, hereby ratifying all that each such attorney-in-fact, for
and on behalf of the undersigned, shall lawfully do or cause to be
done by virtue of this Power of Attorney.
This Power of Attorney shall remain in full force and effect
until revoked by the undersigned in a signed writing delivered
to each such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this
Power of Attorney to be executed as of this 8th day of March 2024.
/s/ DALIP M. PURI
