-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T8eL2SIK/QyGFrIlc3QtGms1yKPL2ZJqlCmE49t6JHWap2VGhasGP6+57j2C6ceM D5F0Ht58UtgxQJvQK6kLAg== 0000930661-00-000181.txt : 20000210 0000930661-00-000181.hdr.sgml : 20000210 ACCESSION NUMBER: 0000930661-00-000181 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000209 GROUP MEMBERS: FRANCES ANNETTE SCOTT REVOCABLE TRUST GROUP MEMBERS: RICHARD L & F ANNETTE SCOTT FAMILY LTD PARTNERSHIP SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PERFICIENT INC CENTRAL INDEX KEY: 0001085869 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 742853258 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-57761 FILM NUMBER: 528313 BUSINESS ADDRESS: STREET 1: 7600-B NORTH CAPITAL OF TEXAS HGWY, STREET 2: SUITE 220 CITY: AUSTIN STATE: TX ZIP: 78731 MAIL ADDRESS: STREET 1: 7600-B NORTH CAPITAL OF TEXAS OF HGWY STREET 2: SUITE 220 CITY: AUSTIN STATE: TX ZIP: 78731 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RICHARD L & F ANNETTE SCOTT FAMILY LTD PARTNERSHIP CENTRAL INDEX KEY: 0001105640 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 611272598 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 100 FIRST STAMFORD PLACE SUITE 625 CITY: STAMFORD STATE: CT ZIP: 06902 BUSINESS PHONE: 2036022290 MAIL ADDRESS: STREET 1: 100 FIRST STAMFORD PLACE SUITE 625 CITY: STAMFORD STATE: CT ZIP: 06902 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. -----------) PERFICIENT, INC. (Name of Issuer) Common Stock, $.001 par value (Title of Class of Securities) 71375U101 (CUSIP Number) January 31, 2000 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed. [ ] Rule 13d-1(b) [ x ] Rule 13d-1(c) [ ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act. SCHEDULE 13G CUSIP No. 71375U101 1. Names of Reporting Persons: Richard L. and F. Annette Scott Family Limited Partnership. IRS Identification No.: 61-127-2598 2. Check the Appropriate Box if a Member of a Group (a) [ x ] (b) [ ] 3. SEC USE ONLY 4. Citizenship or Place of Organization: Kentucky NUMBER OF SHARES 5. Sole Voting Power: 125,000 BENEFICIALLY OWNED 6. Shared Voting Power: -0- BY EACH REPORTING 7. Sole Dispositive Power: 125,000 PERSON WITH 8. Shared Dispositive Power: -0- 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 125,000 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares: [ ] 11. Percent of Class Represented by Amount in Row (9): 3.2% 12. Type of Reporting Person: PN -2- SCHEDULE 13G CUSIP No. 71375U101 1. Names of Reporting Persons: Frances Annette Scott Revocable Trust. IRS Identification No.: ###-##-#### 2. Check the Appropriate Box if a Member of a Group (a) [ x ] (b) [ ] 3. SEC USE ONLY 4. Citizenship or Place of Organization: United States NUMBER OF SHARES 5. Sole Voting Power: 125,000 BENEFICIALLY OWNED 6. Shared Voting Power: -0- BY EACH REPORTING 7. Sole Dispositive Power: 125,000 PERSON WITH 8. Shared Dispositive Power: -0- 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 125,000 10. Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares: [ ] 11. Percent of Class Represented by Amount in Row (9): 3.2% 12. Type of Reporting Person: OO (Revocable Grantor Trust) -3- Item 1(a). Name of Issuer. Perficient, Inc. (the "Issuer"). Item 1(b). Address of Issuer's Principal Executive Offices. 7600B North Capital of Texas Highway, Suite 220 Austin, Texas 78731 Item 2(a). Names of Persons Filing. Richard L. and F. Annette Scott Family Limited Partnership Frances Annette Scott Revocable Trust Item 2(b). Address of Principal Business Office or, if none, Residence. 100 First Stamford Place, Suite 625 Stamford, Connecticut 06902. Item 2(c). Citizenship. Richard L. and F. Annette Scott Family Limited Partnership is a Kentucky limited partnership. Frances Annette Scott Revocable Trust is domiciled in the United States. Item 2(d). Title of Class of Securities. Common Stock, $.001 par value ("Common Stock"). Item 2(e). CUSIP Number. 71375U101. Item 3. Status of Reporting Person. If this statement is filed pursuant to Rule 13d-1(c), check this box. [ x ] -4- Item 4. Ownership. (a) Amount Beneficially Owned: Richard L. and F. Annette Scott Family Limited Partnership directly holds 125,000 shares of the Common Stock. Frances Annette Scott Revocable Trust also directly holds 125,000 shares of the Common Stock. Thus, the Reporting Persons collectively hold 250,000 shares of the Common Stock. (b) Percent of Class: 6.4% (c) Number of Shares as to which the person has: (i) sole power to vote or to direct the vote: 250,000 (ii) shared power to vote or to direct the vote: 0 (iii) sole power to dispose or to direct the disposition of: 250,000 (iv) shared power to dispose or to direct the disposition of: 0 Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. -5- Item 10. Certification. By signing below, each of the undersigned certifies that, to the best of his or her knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of such securities and were not acquired and are not held in connection with or as a participant in any transaction having such purposes or effect. -6- Signature After reasonable inquiry and to the best of my knowledge and belief, each of the undersigned certifies that the information set forth in this statement is true, complete and correct. DATED: February 7, 2000 RICHARD L. AND F. ANNETTE SCOTT FAMILY LIMITED PARTNERSHIP /s/ Richard L. Scott ------------------------------------------- By: Richard L. Scott, General Partner DATED: February 7, 2000 /s/ F. Annette Scott ------------------------------------------- By: Frances Annette Scott as Trustee of the Frances Annette Scott Revocable Trust u/t/a dated December 14, 1993, as amended on April 13, 1995 and February 2, 1998. -7- -----END PRIVACY-ENHANCED MESSAGE-----