0001562180-19-005838.txt : 20191204
0001562180-19-005838.hdr.sgml : 20191204
20191204154653
ACCESSION NUMBER: 0001562180-19-005838
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20191202
FILED AS OF DATE: 20191204
DATE AS OF CHANGE: 20191204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FREELAND JAY
CENTRAL INDEX KEY: 0001309153
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20206
FILM NUMBER: 191268133
MAIL ADDRESS:
STREET 1: 125 TECHNOLOGY PARK
CITY: LAKE MARY
STATE: FL
ZIP: 32746
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
2019-12-02
false
0000887226
PERCEPTRON INC/MI
PRCP
0001309153
FREELAND JAY
47827 HALYARD DRIVE
PLYMOUTH
MI
48170
true
true
false
false
Chairman, Interim Pres & CEO
Common Stock
2019-12-02
4
A
false
2777.00
4.50
A
9645.00
D
Common Stock
2019-12-02
4
A
false
1590.00
0.00
A
11235.00
D
Employee Stock Option (Right to Buy)
4.50
2019-12-02
4
A
false
25000.00
0.00
A
2029-12-02
Common Stock
25000.00
25000.00
D
On December 2, 2019, the reporting person received 2,777 shares of Common Stock in lieu of a portion of his annual Board Compensation pursuant to the Directors Stock Purchase Rights under the 2004 Stock Incentive Plan, an Exempt Plan.
On December 2, 2019, the reporting person received 1,590 shares of Common Stock in lieu of his quarterly Salary Compensation under the 2004 Stock Incentive Plan, an Exempt Plan.
On December 2, 2019, the reporting person was granted an option to purchase 25,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The option will become exercisable (i) 50% upon the earlier of the effective date of the appointment of a new Chief Executive Officer of the Company or the first year anniversary of the date of the grant, (ii) 25% on the second year anniversary of the date of the grant and (iii) 25% on third year anniversary of the date of grant at an exercise price equal to the fair market value of the Company's Common Stock as of December 2, 2019, expiring 10 years from the grant date.
/s/Laura Pecoraro on behalf of Jay W. Freeland
2019-12-04
EX-24
2
poafreeland2019.txt
POWER OF ATTORNEY
POWER OF ATTORNEY
For Executing Forms 3, 4 and 5
The undersigned hereby constitutes and appoints each of Laura Pecoraro,
Lisa Davidson and Thomas Vaughn acting singly,
as his true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned Forms 3, 4 and 5 in
accordance with Section 16(a) of the Securities Exchange Act of 1934
and the rules thereunder; and
(2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete the execution of any
such Form 3, 4 or 5 and the timely filing of such form with the
United States Securities and Exchange Commission and any other person
or authority.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do and perform all and every act and thing
whatsoever requisite, necessary and proper to be done in the exercise
of any of the rights and powers herein granted, with full power of
substitution or revocation, hereby ratifying and confirming all that
such attorney-in-fact, or his substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney
and the rights and powers herein granted. The undersigned
acknowledges that the above-named attorneys-in-fact, in serving in
such capacity at the request of the undersigned, are not assuming any
of the undersigned's responsibilities to comply with Section 16 of
the Securities Exchange Act of 1934.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 18th day of November, 2019.
/s/ Jay W. Freeland