0001181431-12-004624.txt : 20120131 0001181431-12-004624.hdr.sgml : 20120131 20120131145654 ACCESSION NUMBER: 0001181431-12-004624 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120127 FILED AS OF DATE: 20120131 DATE AS OF CHANGE: 20120131 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: FRIEL ROBERT F CENTRAL INDEX KEY: 0001224110 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 12558822 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 4 1 rrd331935.xml FORM 4 X0304 4 2012-01-27 0 0000031791 PERKINELMER INC PKI 0001224110 FRIEL ROBERT F 940 WINTER STREET WALTHAM MA 02451 1 1 0 0 President and CEO Common Stock 2012-01-27 4 F 0 11883 24.120 D 509039 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of performance-based restricted stock originally granted on February 3, 2009, as required by the Reporting Person's Restricted Stock Agreement. The Reporting Person's direct holdings include shares acquired pursuant to the Reporting Person's (i) election to defer stock and/or compensation into the Deferred Compensation Plan, and/or (ii) reinvestment of dividends relating to the Reporting Person's account. /s/ John L. Healy (POA on file) for Robert F. Friel 2012-01-31