This Template was created by the Electronic Industry Citizenship Coalition® (EICC®) and the Global e-Sustainability Initiative (GeSI) as a common means for the collection of sourcing information related to “Conflict Minerals”. AMETEK, Inc has adopted this Template as an element of our due diligence program to verify the responsible sourcing of materials and to support compliance to new legislation*. It is consistent with EICC and GeSI’s related activities including the Conflict Free Smelter (CFS) Program**.

Be sure to include your CMID # in the file, row 13 labeled Company Unique Identifier. This number is located in the invitational e-mail you received from AMETEK, Inc's Corporate CFM group. This template is version 4.01 to be used for products shipped in 2015, for the May 2016 SEC filing deadline.

EICC GeSI Conflict Minerals Reporting Template Version 4.1
Note that the template may download as a read-only file, based on your computer's internet security settings. Please download, save, and enable editing within the file in order to input your company's specific information.

    CFM - Frequently Asked Questions

*In 2010, the U.S. Dodd-Frank Act was passed concerning “Conflict Minerals” originating from the Democratic Republic of the Congo (DRC) or adjoining countries. The SEC has published final rules associated with the disclosure of the source of Conflict Minerals by U.S. publicly traded companies (see the rules at The rules reference the OECD Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas, (, which guides suppliers to establish policies, due diligence frameworks, and management systems.

**Information on the Conflict-Free Smelter Program ( and other information (