0000899243-18-002249.txt : 20180130 0000899243-18-002249.hdr.sgml : 20180130 20180130160524 ACCESSION NUMBER: 0000899243-18-002249 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180130 DATE AS OF CHANGE: 20180130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldberg Joel S CENTRAL INDEX KEY: 0001440132 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 18559151 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2017-12-31 0 0 0 0000031791 PERKINELMER INC PKI 0001440132 Goldberg Joel S 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2017-11-15 5 G 0 138 0.00 D 60920 D Common Stock 2017-12-12 5 G 0 36 0.00 D 60884 D Senior Vice President, Administration, General Counsel and Secretary /s/ John L. Healy (POA on file) for Joel S. Goldberg 2018-01-30