0001631148-17-000041.txt : 20171004
0001631148-17-000041.hdr.sgml : 20171004
20171004155050
ACCESSION NUMBER: 0001631148-17-000041
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: Watza David Lawrence
CENTRAL INDEX KEY: 0001655189
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20206
FILM NUMBER: 171121553
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
2017-10-02
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
2017-10-02
4
A
0
8200
0.00
A
22892
D
Employee Stock Option (right to buy)
7.95
2017-10-02
4
A
0
100000
0
A
2027-10-02
Common Stock
100000
100000
D
On October 2, 2017, the reporting person was granted 8,200 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: 2,733 units will vest on the first anniversary of the grant date; 2,733 units will vest on the second anniversary of the grant date; 2,734 units
On October 2, 2017, the reporting person was granted an option to purchase 100,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The shares are exercisable in three equal annual installments beginning October 2, 2018 at the exercise price equal to the fair market value of the Company's Common Stock as of October 2, 2017, expiring ten years from the grant date.
Michelle O. Wright on behalf of David Lawrence Watza
2017-10-04