0000899243-18-003089.txt : 20180207 0000899243-18-003089.hdr.sgml : 20180207 20180207160603 ACCESSION NUMBER: 0000899243-18-003089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180205 FILED AS OF DATE: 20180207 DATE AS OF CHANGE: 20180207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goldberg Joel S CENTRAL INDEX KEY: 0001440132 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 18581155 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-02-05 0 0000031791 PERKINELMER INC PKI 0001440132 Goldberg Joel S 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2018-02-05 4 F 0 1981 78.08 D 62311 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 3, 2015, as required by the Reporting Person's Restricted Stock Agreement. Senior Vice President, Administration, General Counsel and Secretary /s/ John L. Healy (POA on file) for Joel S. Goldberg 2018-02-07