0000899243-21-000349.txt : 20210105 0000899243-21-000349.hdr.sgml : 20210105 20210105160509 ACCESSION NUMBER: 0000899243-21-000349 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Victor Miriame CENTRAL INDEX KEY: 0001835627 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 21505412 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER CITY: WALTHAM STATE: MA ZIP: 02451-1457 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: 1229 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-01-04 0 0000031791 PERKINELMER INC PKI 0001835627 Victor Miriame 940 WINTER STREET WALTHAM MA 02451-1457 0 1 0 0 Please See Remarks Common Stock 5354 D NQ Stock Option (Right to Buy) 95.74 2026-03-01 Common Stock 1862 D NQ Stock Option (Right to Buy) 82.72 2027-03-06 Common Stock 3962 D This option vested as to 1/3 of the underlying shares on February 15, 2020, and is scheduled to vest in two equal installments thereafter on February 15, 2021 and February 15, 2022. This option is scheduled to vest in three equal installments on February 15, 2021, February 15, 2022 and February 15, 2023. Senior Vice President and Chief Commercial Officer Exhibit List: Exhibit 24 - Power of Attorney /s/ John L. Healy (POA on file) for Miriame Victor 2021-01-05 EX-24 2 attachment1.htm EX-24 DOCUMENT

                               PerkinElmer, Inc.
                               Power of Attorney

     The undersigned hereby constitutes and appoints each of Joel S. Goldberg
and John L. Healy, each signing singly and acting individually, the
undersigned's true and lawful attorney-in-fact to:

     (1)  execute for and on behalf of the undersigned, in the
          undersigned's capacity as an officer and/or director of PerkinElmer,
          Inc. (the "Company"), Forms 3, 4 and 5 (including any amendments
          thereto) in accordance with Section 16(a) of the Securities Exchange
          Act of 1935 (the "Exchange Act") and the rules thereunder; and

     (2)  do and perform any and all acts for and on behalf of the
          undersigned that may be necessary or desirable to prepare, complete
          and execute any such Form 3, 4, or 5, or any amendment thereto, and
          timely deliver and file such form or amendment with the United States
          Securities and Exchange Commission and any stock exchange or similar
          authority; and

     (3)  seek or obtain, as the undersigned's representative and on the
          undersigned's behalf, information regarding transactions in the
          Company's securities from any third party, including brokers, employee
          benefit plan administrators, stock option administrators, and
          trustees, and the undersigned hereby authorizes any such person to
          release any such information to such attorney-in-fact and approves and
          ratifies any such release of information; and

     (4)  take any other action of any type whatsoever in connection with
          the foregoing which, in the opinion of such attorney-in-fact, may be
          of benefit to, in the best interest of, or legally required by, the
          undersigned, it being understood that the documents executed by such
          attorney-in-fact on behalf of the undersigned pursuant to this Power
          of Attorney shall be in such form and shall contain such terms and
          conditions as such attorney-in-fact may approve in such attorney-in-
          fact's discretion.

     The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted.  The undersigned acknowledges that neither the Company nor any of the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, assume (i) any liability for the undersigned's responsibility to
comply with the requirements of Section 16 of the Exchange Act, (ii) any
liability of the undersigned for any failure to comply with such requirements,
or (iii) any obligation or liability of the undersigned for any profit
disgorgement under Section 16(b) of the Exchange Act.

     This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless superseded by a Power of Attorney dated after the date hereof or earlier
revoked by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.

     IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed 04 December 2020.

                                             /s/ Miriame Victor
                                             --------------------
                                             Signature

                                             Miriame Victor
                                             --------------------
                                             Print Name