0000899243-17-012620.txt : 20170510 0000899243-17-012620.hdr.sgml : 20170510 20170510160530 ACCESSION NUMBER: 0000899243-17-012620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170509 FILED AS OF DATE: 20170510 DATE AS OF CHANGE: 20170510 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: MICHAS ALEXIS P CENTRAL INDEX KEY: 0001044005 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 17830213 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: C/O PERKINELMER CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-05-09 0 0000031791 PERKINELMER INC PKI 0001044005 MICHAS ALEXIS P 940 WINTER STREET WALTHAM MA 02451 1 0 0 0 Common Stock 2017-05-09 4 A 0 1204 0.00 A 54532 D Common Stock 2017-05-09 4 A 0 1598 0.00 A 56130 D Common Stock 500 I By spouse IRA 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 May 9, 2018, which is the first anniversary of the date on which the grant was made. Includes shares related to dividends on shares in the Deferred Compensation Plan in the Reporting Person's account. /s/ John L. Healy (POA on file) for Alexis P. Michas 2017-05-10