| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
PERCEPTRON INC/MI [ PRCP ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/21/2003 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) 08/22/2003 |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| Code | V | Amount | (A) or (D) | Price | ||||||
| Common Stock | 08/21/2003 | M | 10,000 | A | $4.65 | 11,100 | D | |||
| Common Stock | 08/21/2003 | M | 2,000 | A | $2.244 | 13,100 | D | |||
| Common Stock | 08/21/2003 | M | 1,000 | A | $1.38 | 14,100 | D | |||
| Common Stock | 08/21/2003 | S | 12,000 | D | $5.75 | 2,100 | D | |||
| Common Stock | 08/21/2003 | S | 1,000 | D | $5.85 | 1,100 | D | |||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Director Stock Option (Right to Buy) | $4.65 | 08/21/2003 | M | 10,000 | (1) | 06/23/2009 | Common Stock | 10,000 | $0 | 0 | D | ||||
| Director Stock Option (Right to Buy) | $2.244 | 08/21/2003 | M | 2,000 | (2) | 12/04/2010 | Common Stock | 2,000 | $0 | 1,000 | D | ||||
| Director Stock Option (Right to Buy) | $1.38 | 08/21/2003 | M | 1,000 | (3) | 12/07/2011 | Common Stock | 1,000 | $0 | 2,000 | D | ||||
| Explanation of Responses: |
| 1. On June 24, 1999, the reporting person was granted an option to purchase 10,000 shares of Common Stock under the Directors Stock Option Plan, an exempt plan. The shares are exercisable as follows: 3,334 shares exercisable on 6/24/2000, 3,333 shares exercisable on 6/24/2001 and 3,333 exercisable on 6/24/2002. |
| 2. On December 4, 2000, the reporting person was granted an option to purchase 3,000 shares of Common Stock under the Directors Stock Option Plan, an exempt plan. The shares are exercisable as follows: 1,000 shares exercisable on 12/4/2001, 1,000 shares exercisable on 12/4/2002 and 1,000 shares exercisable on 12/4/2003. |
| 3. On December 7, 2001, the reporting person was granted an option to purchase 3,000 shares of Common Stock under the Directors Stock Option Plan, an exempt plan. The shares are exercisable as follows: 1,000 shares exercisable on 12/7/2002, 1,000 shares exercisable on 12/7/2003 and 1,000 shares exercisable on 12/7/2004. |
| Remarks: |
| On August 22, 2003, the reporting person filed a Form 4 containing certain mistakes. On August 25, 2003, the reporting person filed another Form 4 to correct one of those mistakes, but failed to indicate on the filing that it was an amendment to the August 22, 2003 filing. On September 9, 2003, the reporting person filed an amendment to the August 22, 2003 Form 4 to reflect revisions to Table I, Column 1, Title of Security, and certain Transaction Codes in Column 3, Transaction Code, and Table II, Column 5, Number of Derivative Securities Acquired or Disposed of, Column 8, Price of Derivative Security, and Column 9, Number of Derivative Securities Beneficially Owned Following Reported Transactions. This Amendment to the August 22, 2003 Form 4 reflects a revision to Table I, Column 5, Amount of Securities Beneficially Owned Following Reported Transaction(s). |
| Sylvia M. Smith for David J. Beattie | 10/24/2003 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||