0001085869-22-000002.txt : 20220211 0001085869-22-000002.hdr.sgml : 20220211 20220211170358 ACCESSION NUMBER: 0001085869-22-000002 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220211 DATE AS OF CHANGE: 20220211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Derrickson Ralph C CENTRAL INDEX KEY: 0001313602 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15169 FILM NUMBER: 22622484 MAIL ADDRESS: STREET 1: 1120 S CAPITAL OF TEXAS HIGHWAY STREET 2: BLDG 3 SUITE 220 CITY: AUSTIN STATE: TX ZIP: 78746 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERFICIENT INC CENTRAL INDEX KEY: 0001085869 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 742853258 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 555 MARYVILLE UNIVERSITY DRIVE STREET 2: SUITE 600 CITY: SAINT LOUIS STATE: MO ZIP: 63141 BUSINESS PHONE: 314-529-3600 MAIL ADDRESS: STREET 1: 555 MARYVILLE UNIVERSITY DRIVE STREET 2: SUITE 600 CITY: SAINT LOUIS STATE: MO ZIP: 63141 5 1 wf-form5_164461701930925.xml FORM 5 X0306 5 2021-12-31 0 0 0 0001085869 PERFICIENT INC PRFT 0001313602 Derrickson Ralph C 555 MARYVILLE UNIVERSITY DRIVE SUITE 500 ST. LOUIS MO 63141 1 0 0 0 Common Stock 2021-03-16 5 G 0 185 0 D 42626 D Common Stock 2021-03-16 5 G 0 185 0 D 42441 D Common Stock 2021-05-14 5 G 0 80 0 D 42361 D Common Stock 2021-05-14 5 G 0 80 0 D 42281 D This transaction involved a gift of securities from Ralph Derrickson to Rochester Institute of Technology This transaction involved a gift of securities from Ralph Derrickson to Hyla School This transaction involved a gift of securities from Ralph Derrickson to KUOW Ralph Derrickson 2022-02-11