SEC FORM 3/A 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*
Arkell Sandra A

(Last) (First) (Middle)
C/O DOVER CORPORATION
3005 HIGHLAND PARKWAY

(Street)
DOWNERS GROVE IL 60515

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/15/2015
3. Issuer Name and Ticker or Trading Symbol
DOVER Corp [ DOV ]
4. 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
5. If Amendment, Date of Original Filed (Month/Day/Year)
08/17/2015
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 1,428(1)(2) D
Common Stock 364 I By 401(k) Plan
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 Appreciation Right 02/12/2018 02/12/2025 Common Stock 6,550 73.28 D
Stock Appreciation Right 03/10/2017 03/10/2024 Common Stock 5,817 82.51 D
Stock Appreciation Right 02/14/2016 02/14/2023 Common Stock 8,842 63.33 D
Stock Appreciation Right 02/09/2015 02/09/2022 Common Stock 9,718 57.62 D
Stock Appreciation Right 02/10/2014 02/10/2021 Common Stock 7,156 58.69 D
Explanation of Responses:
1. Includes 1,204 restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Dover common stock. Restricted stock units vest in three annual installments beginning on the first anniversary of the date of grant.
2. This amendment is being filed to report shares directly held which we inadvertently omitted from the Form 3. This same error was carried forward in the subsequent Form 4 filings.
Remarks:
/s/ Sandra A Arkell by Alison M. Rhoten, Attorney-in-fact 02/24/2017
** 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.
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