01/28/2025 | Press release | Distributed by Public on 01/28/2025 18:40
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN 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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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 | $ 0 | 01/25/2025 | M | 772 | 01/25/2025 | 01/25/2025 | Common Stock | 772 | $ 0 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Roks Edwin 1049 CAMINO DOS RIOS THOUSAND OAKS, CA 91360 |
Chief Executive Officer |
Edwin Roks by S. Paul Sassalos pursuant to a Power of Attorney previously filed with the SEC | 01/28/2025 |
**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 vesting of Restricted Stock Units issued to the reporting person effective January 25, 2022. Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock upon vesting and the Reporting person received an equivalent number of shares of Common Stock. Release of shares confirmed by Personnel and Compensation Committee on January 21, 2025. |
(2) | Represents shares forfeited upon vesting of the January 25, 2022 Restricted Stock Award. |
(3) | Reporting Person holds 9,307.5375 shares directly, and includes 415.771 equivalent shares held in the Teledyne 401(k) Plan and shares purchased through the ESPP based on information received as of January 20, 2025. Does not include 5,612 Restricted Stock Units. |