SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CIAMPITTI TONY J

(Last) (First) (Middle)
1100 CASSATT ROAD

(Street)
BERWYN PA 19312

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AMETEK INC/ [ AME ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
PRES. - ELECTRONIC INSTRUMENTS
3. Date of Earliest Transaction (Month/Day/Year)
01/12/2021
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/12/2021 F 2,006 D $124.12 32,557 D
Common Stock/ Serp 01/12/2021 J(1) 15 A $124.12 6,159 D
401k Plan 01/12/2021 J(2) 7 A $124.12 2,693 I 401k Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Pursuant to the Supplemental Executive Retirement Plan ("SERP"), reflects the reporting person's deemed investment in the AMETEK Common Stock Fund (the "Fund"), an investment option within the AMETEK Retirement and Savings Plan. The Fund consists of AMETEK common stock (approximately 98% of the Fund's value) and cash or cash equivalents (approximately 2% of the Fund's value). The number of shares attributed to the reporting person as a Plan participant and expressed as equivalent shares has been calculated based on the closing price of AMETEK common stock in relation to the Net Asset Value of the Fund on the date of the reported transaction and may change from time to time without the volition of the reporting person depending on the fair market value of AMETEK common stock and the amount of cash in the Fund. The balance reflects the difference between a 27 share dividend minus a 12 share decrease due to the FMV of the AMETEK common stock and the amount of cash in the Fund.
2. Reflects the reporting person's interest in equivalent shares held by the AMETEK Common Stock Fund (the "Fund") in The AMETEK Retirement and Savings Plan (the "401(k) Plan"). The Fund consists of AMETEK common stock (approximately 98% of the Fund's value) and cash or cash equivalents (approximately 2% of the Fund's value). The number of shares attributed to the reporting person as a Plan participant and expressed as equivalent shares has been calculated based on the closing price of AMETEK common stock in relation to the Net Asset Value of the Fund on the date of the reported transaction and may change from time to time without the volition of the reporting person depending on the fair market value of AMETEK common stock and the amount of cash in the Fund. The balance reflects the difference between a 14 share dividend minus a seven share decrease due to the FMV of the AMETEK common stock and the amount of cash in the Fund.
/s/ Lynn Carino, attorney-in-fact for Mr. Ciampitti 01/14/2021
** 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 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).
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.