0000899243-16-025239.txt : 20160718 0000899243-16-025239.hdr.sgml : 20160718 20160718160534 ACCESSION NUMBER: 0000899243-16-025239 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160715 FILED AS OF DATE: 20160718 DATE AS OF CHANGE: 20160718 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: Butters Deborah A. CENTRAL INDEX KEY: 0001677715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 161771643 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-07-15 0 0000031791 PERKINELMER INC PKI 0001677715 Butters Deborah A. 940 WINTER STREET WALTHAM WA 02451 0 1 0 0 Please See Remarks Common Stock 2016-07-15 4 A 0 3611 0.00 A 3611 D Common Stock 2016-07-15 4 A 0 2940 0.00 A 6551 D Shares are time-based restricted stock, scheduled to vest 50% on the second anniversary of the date of grant, and the balance on February 9, 2019. Shares are time-based restricted stock scheduled to fully vest on the first anniversary of the date of grant. Senior Vice President, Chief Human Resources Officer /s/ John L. Healy (POA on file) for Deborah A. Butters 2016-07-18