Sec Form 4 Filing - Belak Cynthia Y @ TELEDYNE TECHNOLOGIES INC - 2019-01-22

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Belak Cynthia Y
2. Issuer Name and Ticker or Trading Symbol
TELEDYNE TECHNOLOGIES INC [ TDY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Vice President and Controller
(Last) (First) (Middle)
1039 CAMINO DOS RIOS
3. Date of Earliest Transaction (MM/DD/YY)
01/22/2019
(Street)
THOUSAND OAKS, CA91360
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/22/2019 A 504 ( 1 ) A $ 207.49 ( 2 ) 6,287.4534 ( 3 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option right-to-buy $ 217.39 ( 4 ) 01/22/2019 A 5,389 01/22/2020 01/22/2029 Common Stock 5,389 $ 0 5,389 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Belak Cynthia Y
1039 CAMINO DOS RIOS
THOUSAND OAKS, CA91360
Vice President and Controller
Signatures
Cynthia Y. Belak 01/24/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents restricted shares issued to the Reporting Person under the 2019-2021 Restricted Stock Award Program.
( 2 )Price used to calculate Restricted Stock Award.
( 3 )Shares held directly include 3,018 restricted shares and 894.8960 equivalent shares held in the Teledyne Technologies 401(k) Plan based on information received as of January 16, 2019, and 2,374.5574 shares held indirectly by the Belak Family Trust.
( 4 )The options vest in three equal annual installments beginning January 22, 2020. The first vesting date is stated.

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 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).

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