-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DUNFwAKcDh/tVl/s0fkXxYvBozfWj2BWpgyW32uM9yDKxXM+0L8bdVP8zd3csOl3 Y3Evqw1GwcWa8S9VAxfhLw== 0001244158-03-000003.txt : 20031211 0001244158-03-000003.hdr.sgml : 20031211 20031211161259 ACCESSION NUMBER: 0001244158-03-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031209 FILED AS OF DATE: 20031211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH TERRYLL R CENTRAL INDEX KEY: 0001244158 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20206 FILM NUMBER: 031049704 BUSINESS ADDRESS: STREET 1: 5815 LAUSANNE CITY: RENO STATE: NV ZIP: 89511 BUSINESS PHONE: 7344144810 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERCEPTRON INC/MI CENTRAL INDEX KEY: 0000887226 STANDARD INDUSTRIAL CLASSIFICATION: OPTICAL INSTRUMENTS & LENSES [3827] IRS NUMBER: 382381442 STATE OF INCORPORATION: MI FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 47827 HALYARD DRIVE CITY: PLYMOUTH STATE: MI ZIP: 48170-2461 BUSINESS PHONE: 3134144816 MAIL ADDRESS: STREET 1: 47827 HALYARD DRIVE CITY: PLYMOUTH STATE: MI ZIP: 48170-2461 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-09 0 0000887226 PERCEPTRON INC/MI PRCP 0001244158 SMITH TERRYLL R 47827 HALYARD DRIVE PLYMOUTH MI 48170 1 0 0 0 Common Stock 2003-12-09 4 M 0 1000 2.244 A 1000 D Common Stock 2003-12-09 4 M 0 1000 1.38 A 2000 D Common Stock 2003-12-09 4 M 0 1000 1.86 A 3000 D Common Stock 2003-12-09 4 S 0 3000 7.25 D 0 D Director Stock Option (Right to Buy) 2.244 2003-12-09 4 M 0 1000 0 D 2010-12-04 Common Stock 1000 0 D Director Stock Option (Right to Buy) 1.38 2003-12-09 4 M 0 1000 0 D 2011-12-07 Common Stock 1000 1000 D Director Stock Option (Right to Buy) 1.86 2003-12-09 4 M 0 1000 0 D 2012-12-09 Common Stock 1000 2000 D 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. 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. On December 9, 2002, 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 12/9/2003, 1,000 shares exercisable on 12/9/2004 and 1,000 shares exercisable on 12/9/2005. Sylvia M. Smith for Terryll R. Smith 2003-12-11 -----END PRIVACY-ENHANCED MESSAGE-----