0000899243-16-033674.txt : 20161116
0000899243-16-033674.hdr.sgml : 20161116
20161116160552
ACCESSION NUMBER: 0000899243-16-033674
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161115
FILED AS OF DATE: 20161116
DATE AS OF CHANGE: 20161116
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: Chapin Samuel R.
CENTRAL INDEX KEY: 0001686008
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-05075
FILM NUMBER: 162002485
MAIL ADDRESS:
STREET 1: 940 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-11-15
0
0000031791
PERKINELMER INC
PKI
0001686008
Chapin Samuel R.
940 WINTER STREET
WALTHAM
MA
02451
1
0
0
0
Common Stock
2016-11-15
4
A
0
864
0.00
A
864
D
Common Stock
2016-11-15
4
A
0
1146
0.00
A
2010
D
The reporting person was granted restricted stock units, with each unit representing a contingent right to receive one share of the issuer's common stock. The grant of restricted stock units will fully vest on November 15, 2017, which is the first anniversary of the date on which the grant was made.
/s/ John L. Healy (POA on file) for Samuel R. Chapin
2016-11-16