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*
Cibik Melanie Susan

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

(Street)
THOUSAND OAKS CA 91360

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/01/2012
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)
Sr. VP, General Counsel & Sec.
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 20,915.046(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) 01/22/2009(2) 01/22/2018 Common Stock 4,662 $50.79 D
Stock Option (right-to-buy) 01/19/2011(3) 01/19/2020 Common Stock 7,000 $42.09 D
Stock Option (right-to-buy) 01/25/2012(4) 01/25/2021 Common Stock 7,000 $46.86 D
Stock Option (right-to-buy) 04/25/2013(5) 04/25/2022 Common Stock 7,000 $64.73 D
Explanation of Responses:
1. Includes 5,443 shares of restricted stock granted under the Teledyne Technologies Incorporated 2008 Incentive Award Plan and Amended and Restated 2008 Incentive Award Plan, 36.860 shares purchased as of 7/31/12 under the Teledyne Technologies Incorporated Employee Stock Purchase Plan and share units equivalent to 2,615.186 shares held in the Teledyne 401(k) Plan as of 8/30/12.
2. The options vest in three equal annual installments beginning January 22, 2009. The first vesting date is stated.
3. The options vest in three equal annual installments beginning January 19, 2011. The first vesting date is stated.
4. The options vest in three equal annual installments beginning January 25, 2012. The first vesting date is stated.
5. The options vest in three equal annual installments beginning April 25, 2013. The first vesting date is stated.
Remarks:
See Exhibit 24 -Cibik Power of Attorney.pdf attached
Melanie S. Cibik 09/04/2012
** 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.
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