SEC FORM
3
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
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person*
| C/O AVNET, INC. |
| 2211 SOUTH 47TH STREET |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
10/24/2016
|
3. Issuer Name and Ticker or Trading Symbol
AVNET INC
[ AVT ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Chief Strategy Officer |
|
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)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Common Stock |
16,713
|
D |
|
| Common Stock |
9,531 |
I |
By Family Trust |
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 |
| Explanation of Responses: |
|
|
Therese M. Bassett |
10/24/2016 |
|
** 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. |
AVNET, INC.
LIMITED POWER OF ATTORNEY
FOR SECTION 16 REPORTING OBLIGATIONS
Know all by these presents that the undersigned hereby makes,
constitutes
and appoints each of Michael O'Neill, Kevin Moriarty and Michael McCoy,
each acting individually, as the undersigned's true and lawful
attorney-in-fact, with full power and authority as hereinafter
described on behalf
of and in the name, place and stead of the undersigned to:
(1) prepare and execute Forms 3, 4 and 5 (including any
amendments thereto)
with respect to the common stock of Avnet, Inc., a New York
corporation (the "Company"), and to file the same with the United
States Securities and Exchange Commission, any national securities
exchanges and the Company, as considered necessary or advisable
under Section 16(a) of the Securities Exchange Act of 1934 and
the rules and regulations promulgated thereunder,as amended from
time to time (the "Exchange Act") and the Sarbanes-Oxley Act
of 2002;
(2) seek or obtain, as the undersigned's representative and on
the undersigned's behalf, information on transactions in the
Company's common stock from any third party, including brokers,
employee benefit plan administrators and trustees, and the
undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such
release of information; and
(3) perform any and all other acts (including, but not limited to,
The filing of Form ID to obtain EDGAR Access Codes) which in the discretion
of such attorney-in-fact are necessary or desirable for
and on behalf of the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(a) any documents prepared and/or executed by any of such attorneys-
in-fact on behalf of the undersigned pursuant to this power of
attorney will be in such form and will contain such information and
disclosure as such attorney-in-fact, in his or her discretion,
deems necessary or desirable;
(b) this power of attorney authorizes, but does not require, each
such attorney-in-fact to act in his or her discretion on information
provided to such attorney-in-fact without independent verification
of such information;
(c) neither the Company nor any of such attorneys-in-fact assumes (i)
any liability for the undersigned's responsibility to comply with the
requirements of the Exchange Act, (ii) any liability of the
undersigned for any failure to comply with such requirements, or
(iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(d) this power of attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations
under the Exchange Act, including without limitation the reporting
requirements under Section 16(a) of the Exchange Act. The
undersigned hereby gives and grants each of the foregoing
attorneys-in-fact full power and authority to do and perform all
and every act and thing whatsoever requisite, necessary or
appropriate to be done in and about the foregoing matters as fully
to all intents and purposes as the undersigned might or could do if present,
hereby ratifying all that each such attorney-in-fact of,
for and on behalf of the undersigned shall lawfully do or cause
to be done by virtue of this power of attorney.
This power of attorney shall remain in full force and effect until revoked
by the undersigned in a signed writing delivered to the
Corporate Secretary of the Company.
IN WITNESS WHEREOF, the undersigned has caused this power of
attorney to be executed as of this 24th day of October, 2016.
/s/ Therese M. Bassett
Signature
Therese M. Bassett
Print Name
