0001127602-21-001765.txt : 20210115 0001127602-21-001765.hdr.sgml : 20210115 20210115161724 ACCESSION NUMBER: 0001127602-21-001765 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210114 FILED AS OF DATE: 20210115 DATE AS OF CHANGE: 20210115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McClain Gretchen W CENTRAL INDEX KEY: 0001394828 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12981 FILM NUMBER: 21532313 MAIL ADDRESS: STREET 1: XYLEM INC. STREET 2: 1133 WESTCHESTER AVENUE, SUITE N200 CITY: WHITE PLAINS STATE: NY ZIP: 10604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMETEK INC/ CENTRAL INDEX KEY: 0001037868 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 141682544 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1100 CASSATT ROAD CITY: BERWYN STATE: PA ZIP: 19312 BUSINESS PHONE: 610-647-2121 MAIL ADDRESS: STREET 1: 1100 CASSATT ROAD CITY: BERWYN STATE: PA ZIP: 19312 FORMER COMPANY: FORMER CONFORMED NAME: AMETEK AEROSPACE PRODUCTS INC DATE OF NAME CHANGE: 19970415 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-01-14 0001037868 AMETEK INC/ AME 0001394828 McClain Gretchen W 172 WHITE PINE CANYON ROAD PARK CITY UT 84060 1 Common Stock/ Deferred Compensation 2021-01-14 4 J 0 9 120.72 A 1576 D Common Stock/ Deferred Compensation 2021-01-14 4 I 0 56 120.72 D 1520 D Common Stock 2021-01-14 4 I 0 56 120.72 A 12087 D Pursuant to the Deferred Compensation Plan ("DC Plan"), 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 DC 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 a 9 share dividend and a 2 share increase due to the FMV of the AMETEK common stock and the amount of cash in the Fund. Represents shares of AMETEK, Inc. Common Stock issued upon the distribution of stock units from Ms. McClain's account under the AMETEK, Inc. Director's Deferred Compensation Plan. /s/ Lynn Carino, attorney-in-fact for Ms. McClain 2021-01-15