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