0000899243-17-003144.txt : 20170208 0000899243-17-003144.hdr.sgml : 20170208 20170208173335 ACCESSION NUMBER: 0000899243-17-003144 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170206 FILED AS OF DATE: 20170208 DATE AS OF CHANGE: 20170208 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: Wilson Frank Anders CENTRAL INDEX KEY: 0001462948 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 17583640 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-06 0 0000031791 PERKINELMER INC PKI 0001462948 Wilson Frank Anders 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2017-02-06 4 F 0 2841 52.17 D 59344 D Common Stock 2017-02-07 4 A 0 5797 0.00 A 65141 D NQ Stock Option (right to buy) 52.69 2017-02-07 4 A 0 26481 0.00 A 2024-02-07 Common Stock 26481 26481 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 4, 2014, as required by the Reporting Person's Restricted Stock Agreement. Shares are time-based restricted stock that are scheduled to fully vest on the third anniversary of the date of grant. The Reporting Person's direct holdings include shares acquired pursuant to the Reporting Person's (i) election to defer stock and/or compensation into the Deferred Compensation Plan, and/or (ii) reinvestment of dividends relating to the Reporting Person's account. This option is scheduled to vest in three equal annual installments beginning on the first anniversary of the date of grant. Senior Vice President and Chief Financial Officer /s/ John L. Healy (POA on file) for Frank Anders Wilson 2017-02-08