0001140361-12-052682.txt : 20121226 0001140361-12-052682.hdr.sgml : 20121226 20121226162056 ACCESSION NUMBER: 0001140361-12-052682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121221 FILED AS OF DATE: 20121226 DATE AS OF CHANGE: 20121226 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: 121285532 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 X0306 4 2012-12-21 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 2012-12-21 4 F 0 18198 11.38 D 555861 D Shares were surrendered to the Issuer to satisfy estimated tax obligations. The total common stock and options owned are 710,861. Jeffrey Davis 2012-12-26