0001631148-17-000039.txt : 20171004
0001631148-17-000039.hdr.sgml : 20171004
20171004154944
ACCESSION NUMBER: 0001631148-17-000039
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171002
FILED AS OF DATE: 20171004
DATE AS OF CHANGE: 20171004
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: 171121548
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
2017-10-02
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
2017-10-02
4
A
0
4150
0
A
11739
D
Common Stock
20000
I
By Spouse
On October 2, 2017, the reporting person was granted 4,150 restricted stock units under the 2004 Stock Incentive Plan, an exempt plan. Each restricted stock unit represents a contingent right to receive one share of Common Stock of the Issuer. Provided the reporting person remains employed with the Issuer on each of the relevant dates, the units will vest as follows: 1,383 units will vest on the first anniversary of the grant date; 1,383 units will vest on the second anniversary of the grant date; 1,384 units 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
2017-10-04