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