0001140361-12-045646.txt : 20121105
0001140361-12-045646.hdr.sgml : 20121105
20121105163655
ACCESSION NUMBER: 0001140361-12-045646
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121101
FILED AS OF DATE: 20121105
DATE AS OF CHANGE: 20121105
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: 121180471
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
X0306
4
2012-11-01
0
0001085869
PERFICIENT INC
PRFT
0001313602
Derrickson Ralph C
9376 ENDICOTT ST NE
BAINBRIDGE ISLAND
WA
98110
1
0
0
0
Common Stock
2012-11-01
4
A
0
1660
0
A
13542
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, 2012.
The total securities owned in Tables I and II is 43,542.
Ralph Derrickson
2012-11-05