0000899243-15-004503.txt : 20150904 0000899243-15-004503.hdr.sgml : 20150904 20150904160523 ACCESSION NUMBER: 0000899243-15-004503 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150903 FILED AS OF DATE: 20150904 DATE AS OF CHANGE: 20150904 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERKINELMER INC CENTRAL INDEX KEY: 0000031791 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 042052042 STATE OF INCORPORATION: MA FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781 663 5776 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: EG&G INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: EDGERTON GERMESHAUSEN & GRIER INC DATE OF NAME CHANGE: 19670626 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SICCHITANO KENTON J CENTRAL INDEX KEY: 0001224105 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 151094663 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER, INC. LEGAL DEPARTMENT CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-09-03 0 0000031791 PERKINELMER INC PKI 0001224105 SICCHITANO KENTON J 940 WINTER STREET WALTHAM MA 02451 1 0 0 0 Common Stock 2015-09-03 4 M 0 12586 17.40 A 54460 D Common Stock 2015-09-03 4 S 0 12586 47.881 D 41874 D NQ Stock Option (right to buy) 17.40 2015-09-03 4 M 0 12586 0.00 D 2016-05-05 Common Stock 12586 0 D The price reported represents a weighted average sale price of shares sold in multiple transactions at prices ranging from $47.860 to $47.990. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, to provide full information regarding the number of shares sold at each separate price. This option became exercisable in three equal annual installments beginning on May 5, 2010, which was the first anniversary of the date on which the option was granted. /s/ John L. Healy (POA on file) for Kenton J. Sicchitano 2015-09-04