0001209191-14-067569.txt : 20141110 0001209191-14-067569.hdr.sgml : 20141110 20141110160528 ACCESSION NUMBER: 0001209191-14-067569 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141107 FILED AS OF DATE: 20141110 DATE AS OF CHANGE: 20141110 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: Tenney Maurice H. CENTRAL INDEX KEY: 0001539741 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 141208660 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2014-11-07 1 0000031791 PERKINELMER INC PKI 0001539741 Tenney Maurice H. 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 See Remarks Common Stock 2014-11-07 4 D 0 6684 0.00 D 21844 D Common Stock 2014-11-07 4 D 0 5285 0.00 D 16559 D Common Stock 2014-11-07 4 D 0 4318 0.00 D 12241 D Common Stock 471 I By 401(K) Forfeiture of shares of restricted stock, which were granted on February 7, 2012, when conditions to vesting were not achieved. Forfeiture of shares of restricted stock, which were granted on February 5, 2013, when conditions to vesting were not achieved. Forfeiture of shares of restricted stock, which were granted on February 4, 2014, when conditions to vesting were not achieved. Senior Vice President, Global Operations and Customer Logistics /s/ John L. Healy (POA on file) for Maurice H. Tenney 2014-11-10