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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1. Name and Address of Reporting Person*
CAMARCO KENNETH V

(Last) (First) (Middle)
C/O PALL CORPORATION
25 HARBOR PARK DRIVE

(Street)
PORT WASHINGTON NY 11050

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/25/2012
3. Issuer Name and Ticker or Trading Symbol
PALL CORP [ PLL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP Global Ops & Business Syst
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 0 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Options (Rights to Buy) 12/22/2012 12/22/2018 Common Stock 2,601 $57.22 D
Employee Stock Options (Rights to Buy) 12/22/2013 12/22/2018 Common Stock 2,601 $57.22 D
Employee Stock Options (Rights to Buy) 12/22/2014 12/22/2018 Common Stock 2,601 $57.22 D
Employee Stock Options (Rights to Buy) 12/22/2015 12/22/2018 Common Stock 2,601 $57.22 D
Employee Stock Options (Rights to Buy) 01/18/2013 01/18/2019 Common Stock 2,590 $59.75 D
Employee Stock Options (Rights to Buy) 01/18/2014 01/18/2019 Common Stock 2,590 $59.75 D
Employee Stock Options (Rights to Buy) 01/18/2015 01/18/2019 Common Stock 2,590 $59.75 D
Employee Stock Options (Rights to Buy) 01/18/2016 01/18/2019 Common Stock 2,590 $59.75 D
Restricted Stock Units 12/22/2015 12/22/2015 Common Stock 3,119.443 (1) D
Restricted Stock Units 01/18/2016 01/18/2016 Common Stock 2,991.776 (1) D
Salary Units 07/31/2016(2) 07/31/2016(2) Common Stock 759 (3) D
Explanation of Responses:
1. The Units will vest and become convertible into shares of Common Stock of the Issuer on a one-for-one basis on the date shown in column 2, provided the Reporting Person is still employed by the Issuer or a subsidiary on that date. If employment terminates sooner, the Units will be forfeited unless termination of employment occurs because of death, disability or retirement, in any of which events the Units may vest in whole or in part.
2. The Date Exercisable (vesting date) and the Expiration Date are the fourth anniversary of the transaction date, or, if sooner, the date on which the Reporting Person's employment with the Issuer terminates, or, if later, the date to which the Reporting Person elects to defer receipt of common stock beyond the vesting date.
3. The Units will vest and become convertible into shares of Common Stock of the Issuer on a one-for-one basis on the date shown in column 2, subject to adjustments if the Reporting Person's employment with the Issuer terminates under certain circumstances prior to the fourth anniversary of the date on which the Units were granted.
Remarks:
/s/ Cherita Thomas as Attorney-in-Fact for Kenneth V. Camarco 10/05/2012
** 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.