0001140361-11-058859.txt : 20111223 0001140361-11-058859.hdr.sgml : 20111223 20111223160831 ACCESSION NUMBER: 0001140361-11-058859 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111221 FILED AS OF DATE: 20111223 DATE AS OF CHANGE: 20111223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIS JEFFREY S CENTRAL INDEX KEY: 0001268774 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15169 FILM NUMBER: 111280492 MAIL ADDRESS: STREET 1: ONE CITYPLACE DRIVE STREET 2: SUITE 190 CITY: SAINT LOUIS STATE: MO ZIP: 63141 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 2011-12-21 0 0001085869 PERFICIENT INC PRFT 0001268774 DAVIS JEFFREY S 520 MARYVILLE CENTRE DR SUITE 400 ST LOUIS MO 63141 0 1 0 0 President and CEO Common Stock 2011-12-21 4 F 0 46812 9.54 D 644500 D Shares were surrendered to the Issuer to satisfy estimated tax obligations for restricted stock vested on December 4, December 15, December 17, and December 21, 2011, pursuant to the Issuer's Long-Term Incentive Plan. The total common stock and options owned are 799,500. Jeffrey Davis 2011-12-23