0001209191-15-011373.txt : 20150210 0001209191-15-011373.hdr.sgml : 20150210 20150210162459 ACCESSION NUMBER: 0001209191-15-011373 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150209 FILED AS OF DATE: 20150210 DATE AS OF CHANGE: 20150210 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: Goldberg Joel S CENTRAL INDEX KEY: 0001440132 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 15594203 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-02-09 0 0000031791 PERKINELMER INC PKI 0001440132 Goldberg Joel S 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 See Remarks Common Stock 2015-02-09 4 F 0 4360 45.98 D 52763 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 7, 2012, as required by the Reporting Person's Restricted Stock Agreement. Senior Vice President, General Counsel and Secretary /s/ John L. Healy (POA on file) for Joel S. Goldberg 2015-02-10