0000899243-16-030571.txt : 20161003 0000899243-16-030571.hdr.sgml : 20161003 20161003160522 ACCESSION NUMBER: 0000899243-16-030571 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 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: Singh Prahlad R. CENTRAL INDEX KEY: 0001684136 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 161915813 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER CITY: WALTHAM STATE: MA ZIP: 024511457 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2016-10-03 0 0000031791 PERKINELMER INC PKI 0001684136 Singh Prahlad R. 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 12461 D NQ Stock Option (Right to Buy) 43.10 2021-05-15 Common Stock 9865 D NQ Stock Option (Right to Buy) 46.26 2022-02-03 Common Stock 10636 D NQ Stock Option (Right to Buy) 48.98 2023-03-04 Common Stock 14187 D This option vested as to 1/3 of the underlying shares on May 15, 2015, which was the first anniversary of the date of grant, with an additional 1/3 of the underlying shares vesting on May 15, 2016, which was the second anniversary of the date of grant. The remaining 1/3 of the underlying shares will vest on May 15, 2017, which is the third anniversary of the date of grant. This option vested as to 1/3 of the underlying shares on February 3, 2016, which was the first anniversary of the date of grant, and is scheduled to vest in equal installments thereafter until the third anniversary of the date of grant. This option is scheduled to vest in three equal annual installments beginning on March 4, 2017 which is the first anniversary of the date of grant. Senior Vice President and President, Diagnostics Exhibit List: Exhibit 24 - Power of Attorney /s/ John L. Healy (POA on file) for Prahlad R. Singh 2016-10-03 EX-24 2 attachment1.htm EX-24 DOCUMENT

                                PerkinElmer, Inc.
                                Power of Attorney

        The undersigned hereby constitutes and appoints each of Joel S. Goldberg
and John L. Healy, each signing singly and acting individually, the
undersigned's true and lawful attorney-in-fact to:

        (1)     execute for and on behalf of the undersigned, in the
                undersigned's capacity as an officer and/or director of
                PerkinElmer, Inc. (the "Company"), Forms 3, 4 and 5 (including
                any amendments thereto) in accordance with Section 16(a) of the
                Securities Exchange Act of 1935 (the "Exchange Act") and the
                rules thereunder; and

        (2)     do and perform any and all acts for and on behalf of the
                undersigned that may be necessary or desirable to prepare,
                complete and execute any such Form 3, 4, or 5, or any amendment
                thereto, and timely deliver and file such form or amendment with
                the United States Securities and Exchange Commission and any
                stock exchange or similar authority; and

        (3)     seek or obtain, as the undersigned's representative and on the
                undersigned's behalf, information regarding transactions in the
                Company's securities from any third party, including brokers,
                employee benefit plan administrators, stock option
                administrators, and trustees, and the undersigned hereby
                authorizes any such person to release any such information to
                such attorney-in-fact and approves and ratifies any such release
                of information; and

        (4)     take any other action of any type whatsoever in connection with
                the foregoing which, in the opinion of such attorney-in-fact,
                may be of benefit to, in the best interest of, or legally
                required by, the undersigned, it being understood that the
                documents executed by such attorney-in-fact on behalf of the
                undersigned pursuant to this Power of Attorney shall be in such
                form and shall contain such terms and conditions as such
                attorney-in-fact may approve in such attorney-in-fact's
                discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that neither the
Company nor any of the foregoing attorneys-in-fact, in serving in such capacity
at the request of the undersigned, assume (i) any liability for the
undersigned's responsibility to comply with the requirements of Section 16 of
the Exchange Act, (ii) any liability of the undersigned for any failure to
comply with such requirements, or (iii) any obligation or liability of the
undersigned for any profit disgorgement under Section 16(b) of the Exchange Act.

        This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless superseded by a Power of Attorney dated after the date hereof or earlier
revoked by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.

        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed this 6th day of September, 2016.

                                        /s/ Prahlad R. Singh
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                                        Signature



                                        Prahlad R. Singh
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                                        Print Name