0001302018-12-000022.txt : 20121128 0001302018-12-000022.hdr.sgml : 20121128 20121128150602 ACCESSION NUMBER: 0001302018-12-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121126 FILED AS OF DATE: 20121128 DATE AS OF CHANGE: 20121128 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: 121228844 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 X0306 4 2012-11-26 0 0000887226 PERCEPTRON INC/MI PRCP 0001244158 SMITH TERRYLL R 47827 HALYARD DRIVE PLYMOUTH MI 48170 1 0 0 0 Common Stock 2012-11-26 4 M 0 2000 1.86 A 3000 D Director Stock Option (right to buy) 1.86 2012-11-26 4 M 0 2000 0 D 2012-12-08 Common Stock 2000 0 D 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. She shares vested at one-third annually on the anniversary of the grant. Sylvia M Smith on behalf of Terryll R Smith 2012-11-28