0001094285-21-000113.txt : 20210517 0001094285-21-000113.hdr.sgml : 20210517 20210517192426 ACCESSION NUMBER: 0001094285-21-000113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210514 FILED AS OF DATE: 20210517 DATE AS OF CHANGE: 20210517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH MICHAEL T CENTRAL INDEX KEY: 0001186676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15295 FILM NUMBER: 21933239 MAIL ADDRESS: STREET 1: 190 NW SPANISH RIVER BOULEVARD STREET 2: SUITE 101 CITY: BOCA RATON STATE: FL ZIP: 33431 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TELEDYNE TECHNOLOGIES INC CENTRAL INDEX KEY: 0001094285 STANDARD INDUSTRIAL CLASSIFICATION: SEARCH, DETECTION, NAVIGATION, GUIDANCE, AERONAUTICAL SYS [3812] IRS NUMBER: 251843385 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 1049 CAMINO DOS RIOS CITY: THOUSAND OAKS STATE: CA ZIP: 91360 BUSINESS PHONE: 805-373-4545 MAIL ADDRESS: STREET 1: 1049 CAMINO DOS RIOS CITY: THOUSAND OAKS STATE: CA ZIP: 91360 4 1 wf-form4_162129384087836.xml FORM 4 X0306 4 2021-05-14 0 0001094285 TELEDYNE TECHNOLOGIES INC TDY 0001186676 SMITH MICHAEL T 1049 CAMINO DOS RIOS THOUSAND OAKS CA 91360 1 0 0 0 Common Stock 2021-05-14 4 A 0 10392 0 A 51697 D Represents shares of Common Stock issued upon conversion of shares of FLIR Systems, Inc. ("FLIR") common stock held by Reporting Person pursuant to the consummation of the transactions contemplated by that Agreement and Plan of Merger, dated as of January 4, 2021, by and among Teledyne Technologies Incorporated, Firework Merger Sub I, Inc., Firework Merger Sub II, LLC, and FLIR. Each share of FLIR was converted into $28 cash and 0.0718 shares of Common Stock. Reporting Person holds 51,697 shares directly and 200 shares owned by Mr. Smith's wife, beneficial ownership of which is disclaimed. Shares held directly include 288 Restricted Stock Units. Michael T. Smith by S. Paul Sassalos pursuant to Power of Attorney previously filed with SEC. 2021-05-17