0000899243-21-049569.txt : 20211223
0000899243-21-049569.hdr.sgml : 20211223
20211223160508
ACCESSION NUMBER: 0000899243-21-049569
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211222
FILED AS OF DATE: 20211223
DATE AS OF CHANGE: 20211223
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: 211517150
MAIL ADDRESS:
STREET 1: 940 WINTER STREET
STREET 2: C/O PERKINELMER
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: 1229
BUSINESS ADDRESS:
STREET 1: 940 WINTER STREET
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: 781-663-5791
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
2021-12-22
0
0000031791
PERKINELMER INC
PKI
0001044005
MICHAS ALEXIS P
940 WINTER STREET
WALTHAM
MA
02451
1
0
0
0
Common Stock
2021-12-22
5
G
0
E
10411
0.00
D
56227
D
Common Stock
2021-12-22
5
G
0
E
10411
0.00
A
10411
I
By The Cayre and Alexis Michas Foundation Corp.
Common Stock
500
I
By spouse IRA
The securities gifted by the reporting person were transferred to a charitable foundation that was established for the sole purpose of making charitable contributions. The directors of the foundation are the reporting person, his spouse and their adult children. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose.
Includes shares related to dividends on shares in the Reporting Person's Deferred Compensation Plan account.
/s/ John L. Healy (POA on file) for Alexis P. Michas
2021-12-23