0001302018-12-000029.txt : 20121204 0001302018-12-000029.hdr.sgml : 20121204 20121204142950 ACCESSION NUMBER: 0001302018-12-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121203 FILED AS OF DATE: 20121204 DATE AS OF CHANGE: 20121204 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: 121240220 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 2012-12-03 0 0000887226 PERCEPTRON INC/MI PRCP 0001244158 SMITH TERRYLL R 47827 HALYARD DRIVE PLYMOUTH MI 48170 1 0 0 0 Directors Stock Option (right to buy) 5.83 2012-12-03 4 A 0 8000 0 A 2022-12-02 Common Stock 8000 8000 D On December 3, 2012, the reporting person was granted an option to purchase 8,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The shares are exercisable in four equal annual installments beginning December 3, 2013 at an exercise price equal to the fair market value of the Company's Common Stock as of December 3, 2012, expiring ten years from grant date. Sylvia M Smith on behalf of Terryll R Smith 2012-12-04