0001140361-11-053413.txt : 20111114 0001140361-11-053413.hdr.sgml : 20111111 20111114163742 ACCESSION NUMBER: 0001140361-11-053413 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111110 FILED AS OF DATE: 20111114 DATE AS OF CHANGE: 20111114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Derrickson Ralph C CENTRAL INDEX KEY: 0001313602 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15169 FILM NUMBER: 111203358 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: 520 MARYVILLE CENTRE DRIVE STREET 2: SUITE 400 CITY: SAINT LOUIS STATE: MO ZIP: 63141 BUSINESS PHONE: 3145293600 MAIL ADDRESS: STREET 1: 520 MARYVILLE CENTRE DRIVE STREET 2: SUITE 400 CITY: SAINT LOUIS STATE: MO ZIP: 63141 4 1 doc1.xml FORM 4 X0304 4 2011-11-10 0 0001085869 PERFICIENT INC PRFT 0001313602 Derrickson Ralph C 9376 ENDICOTT ST NE BAINBRIDGE ISLAND WA 98110 1 0 0 0 Common Stock 2011-11-10 4 A 0 2247 0 A 11882 D Shares represent a grant of restricted stock which vests in four equal quarterly installments on the last day of each calendar quarter, with the first vesting on December 31, 2011. The total securities owned in Tables I and II is 41,882. Ralph Derrickson 2011-11-14