0001562180-19-004706.txt : 20190910 0001562180-19-004706.hdr.sgml : 20190910 20190910110521 ACCESSION NUMBER: 0001562180-19-004706 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190907 FILED AS OF DATE: 20190910 DATE AS OF CHANGE: 20190910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van Valkenburg Richard CENTRAL INDEX KEY: 0001715675 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20206 FILM NUMBER: 191084577 MAIL ADDRESS: STREET 1: 47827 HALYARD CITY: PLYMOUTH STATE: MI ZIP: 48170 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 primarydocument.xml PRIMARY DOCUMENT X0306 4 2019-09-07 false 0000887226 PERCEPTRON INC/MI PRCP 0001715675 Van Valkenburg Richard 47827 HALYARD DRIVE PLYMOUTH MI 48170 false true false false V.P Global Sales & Marketing Common Stock 2019-09-07 4 F false 411.00 4.70 D 18569.00 D Common Stock 25000.00 I By Spouse Shares surrendered to Company in order to satisfy withholding tax obligations. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. David L. Watza on behalf of Richard Van Valkenburg 2019-09-10