-----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, UukqMAPOGUcbGdKfWCNBhZhFYjAalShBhGkCBxWRx2CcXOte4raMD0fOi9YJsbWj DBwiHitSPbBA6VeFX6M2Yg== 0001302018-04-000015.txt : 20041108 0001302018-04-000015.hdr.sgml : 20041108 20041108152517 ACCESSION NUMBER: 0001302018-04-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041105 FILED AS OF DATE: 20041108 DATE AS OF CHANGE: 20041108 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEASE ALFRED A CENTRAL INDEX KEY: 0001241489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20206 FILM NUMBER: 041125602 BUSINESS ADDRESS: STREET 1: 4538 CROSS CREEK DRIVE CITY: ANNARBOM STATE: MI ZIP: 48108 BUSINESS PHONE: 7344144810 MAIL ADDRESS: STREET 1: 4538 CROSS CREEK DRIVE CITY: ANNARBOM STATE: MI ZIP: 48108 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-05 0 0000887226 PERCEPTRON INC/MI PRCP 0001241489 PEASE ALFRED A 47827 HALYARD DRIVE PLYMOUTH MI 48170 1 1 0 0 Chairman, President & CEO Employee Stock Option (Right to Buy) 6.71 2004-11-05 4 D 0 12500 0 D 2014-09-30 Common Stock 0 0 D Employee Stock Option (Right to Buy) 6.71 2004-11-05 4 D 0 37500 0 D 2014-09-30 Common Stock 0 0 D Employee Stock Option (Right to Buy) 6.71 2004-11-05 4 A 0 12500 0 A 2014-09-30 Common Stock 12500 12500 D Employee Stock Option (Right to Buy) 6.71 2004-11-05 4 A 0 37500 0 A 2014-09-30 Common Stock 37500 37500 D On November 5, 2004, the reporting person agreed to the cancellation of an option to purchase 12,500 shares of Common Stock (ISO) under the 1992 Stock Option Plan, which was granted on October 1, 2004. On November 5, 2004, the reporting person agreed to the cancellation of an option to purchase 37,500 shares of Common Stock (NQ) under the 1992 Stock Option Plan, which was granted on October 1, 2004. On November 5, 2004, the reporting person was granted an option to purchase 12,500 shares of Common Stock (ISO) under the 1992 Stock Option Plan, an exempt plan under rule 16b-3. The shares are exercisable as follows: 12,500 shares exercisable on 10/01/2008. On November 5, 2004, the reporting person was granted an option to purchase 37,500 shares of Common Stock (NQ) under the 1992 Stock Option Plan, an exempt plan under rule 16b-3. The shares are exercisable as follows: 12,500 shares exercisable on 10/01/2005, 12,500 shares exercisable on 10/01/2006 and 12,500 shares exercisable on 10/01/2007. Alfred A Pease 2004-11-08 -----END PRIVACY-ENHANCED MESSAGE-----