0001631148-17-000031.txt : 20170911 0001631148-17-000031.hdr.sgml : 20170911 20170911160947 ACCESSION NUMBER: 0001631148-17-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170907 FILED AS OF DATE: 20170911 DATE AS OF CHANGE: 20170911 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: 171079106 MAIL ADDRESS: STREET 1: 47827 HALYARD DRIVE 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 certent-form4.xml PRIMARY DOCUMENT X0306 4 2017-09-07 0000887226 PERCEPTRON INC/MI PRCP 0001655189 Watza David Lawrence 47827 HALYARD DRIVE PLYMOUTH MI 48170 0 1 0 0 President, CEO and CFO Common Stock 2017-09-07 4 A 0 10692 7.34 A 14692 D On September 7, 2017, the reporting person was granted 10,692 shares of Common Stock as a restricted stock award under the 2004 Stock Incentive Plan, an exempt plan. 2,673 shares will vest on grant date; Provided the reporting person remains employed with the Issuer on each of the relevant dates, the remaining shares will vest as follows: 2,673 shares will vest on the first anniversary of the grant date; 2,673 shares will vest on the second anniversary of the grant date; 2,673 shares will vest on the third anniversary of the grant date. Michelle O. Wright on behalf of David Lawrence Watza 2017-09-11