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*
Roks Edwin

(Last) (First) (Middle)
1049 CAMINO DOS RIOS

(Street)
THOUSAND OAKS CA 91360

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/26/2017
3. Issuer Name and Ticker or Trading Symbol
TELEDYNE TECHNOLOGIES INC [ TDY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
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 3,959.304(1) 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
Stock Option (right-to-buy) 04/25/2013(2) 04/25/2022 Common Stock 5,650 $64.73 D
Stock Option (right-to-buy) 04/24/2014(3) 04/24/2023 Common Stock 3,000 $75.13 D
Stock Option (right-to-buy) 04/23/2015(4) 04/23/2024 Common Stock 6,000 $94.24 D
Restricted Stock Units(5) 01/26/2019 01/26/2019 Common Stock 1,098 $0.0 D
Stock Option (right-to-buy) 01/26/2017(6) 01/26/2026 Common Stock 8,000 $78.4 D
Restricted Stock Units(5) 01/24/2020 01/24/2020 Common Stock 759 $0.0 D
Stock Option (right-to-buy) 01/24/2018(7) 01/24/2027 Common Stock 15,000 $123.38 D
Explanation of Responses:
1. Includes 817 shares of restricted stock granted under the Teledyne Technologies Incorporated 2014 Incentive Award Plan and share units equivalent to 435.304 held in the Teledyne 401(k) Plan as of April 19, 2017.
2. The options vest in three equal annual installments beginning April 25, 2013. The first vesting date is stated.
3. The options vest in three equal annual installments beginning April 24, 2014. The first vesting date is stated.
4. The options vest in three equal annual installments beginning April 23, 2015. The first vesting date is stated.
5. Represents Restricted Stock Units issued to the Reporting Person under the Administrative Rules of the Teledyne Technologies Incorporated 2014 Incentive Award Plan. Each Restricted Stock Unit represents a contingent right to receive one share of Teledyne Common Stock.
6. The options vest in three equal annual installments beginning January 26, 2017. The first vesting date is stated.
7. The options vest in three equal annual installments beginning January 24, 2018. The first vesting date is stated.
Remarks:
Edwin Roks 04/28/2017
** 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.
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