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*
Gu Richard

(Last) (First) (Middle)
C/O SHANGHAI AMPHENOL AIR WAVE
NO. 689 SHENNAN ROAD, XINZHUANG IND AREA

(Street)
SHANGHAI 201108

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2017
3. Issuer Name and Ticker or Trading Symbol
AMPHENOL CORP /DE/ [ APH ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP,Grp GM Mobile Consumer Prod
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)
Class A Common Stock 1,000 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 05/27/2011 05/27/2020 Class A Common Stock 4,000 $21.5(1) D
Stock Option 05/24/2013 05/24/2022 Class A Common Stock 16,000 $26.63(1) D
Stock Option 05/23/2014 05/23/2023 Class A Common Stock 28,000 $39(1) D
Stock Option 05/22/2015 05/22/2024 Class A Common Stock 30,000 $47.72(1) D
Stock Option 05/21/2016 05/21/2025 Class A Common Stock 35,000 $57.97 D
Stock Option 01/04/2017 01/04/2026 Class A Common Stock 100,000 $50.87 D
Explanation of Responses:
1. Securities owned reflect 2-for-1 stock split effective October 9, 2014.
Stephen Dorrough, POA 02/08/2017
** 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.
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 Number.