0001631148-17-000033.txt : 20170911
0001631148-17-000033.hdr.sgml : 20170911
20170911161055
ACCESSION NUMBER: 0001631148-17-000033
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: Van Valkenburg Richard
CENTRAL INDEX KEY: 0001715675
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20206
FILM NUMBER: 171079115
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
certent-form4.xml
PRIMARY DOCUMENT
X0306
4
2017-09-07
0000887226
PERCEPTRON INC/MI
PRCP
0001715675
Van Valkenburg Richard
47827 HALYARD DRIVE
PLYMOUTH
MI
48170
0
1
0
0
V.P Global Sales & Marketing
Common Stock
2017-09-07
4
A
0
5826
7.34
A
7589
D
Common Stock
20000
I
By spouse
On September 7, 2017, the reporting person was granted 5,826 shares of Common Stock as a restricted stock award under the 2004 Stock Incentive Plan, an exempt plan. 1,457 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: 1,457 shares will vest on the first anniversary of the grant date; 1,456 shares will vest on the second anniversary of the grant date; 1,456 shares will vest on the third anniversary of the grant date.
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.
Michelle O. Wright on behalf of Richard Van Valkenburg
2017-09-11