0001354488-16-008617.txt : 20161202
0001354488-16-008617.hdr.sgml : 20161202
20161202144343
ACCESSION NUMBER: 0001354488-16-008617
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161201
FILED AS OF DATE: 20161202
DATE AS OF CHANGE: 20161202
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: Watza David Lawrence
CENTRAL INDEX KEY: 0001655189
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20206
FILM NUMBER: 162030822
MAIL ADDRESS:
STREET 1: 47827 HALYARD DRIVE
CITY: PLYMOUTH
STATE: MI
ZIP: 48170
4
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0306
4
2016-12-01
0
0000887226
PERCEPTRON INC/MI
PRCP
0001655189
Watza David Lawrence
47827 HALYARD DRIVE
PLYMOUTH
MI
48170
1
President, CEO and CFO
Employee Stock Option (right to buy)
6.65
2016-12-01
4
A
0
100000
0.00
A
2026-12-01
Common Stock
100000
100000
D
On December 1, 2016, the reporting person was granted an option to purchase 100,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The Shares are exercisable in three equal annual installments beginning December 1, 2017 at the exercise price equal to the fair market value of the Company's Common Stock as of December 1, 2016, expiring ten years from the grant date.
/s/ Michelle O. Wright on behalf of David Lawrence Watza
2016-12-02