0000899243-15-009233.txt : 20151203 0000899243-15-009233.hdr.sgml : 20151203 20151203160543 ACCESSION NUMBER: 0000899243-15-009233 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151202 FILED AS OF DATE: 20151203 DATE AS OF CHANGE: 20151203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERKINELMER INC CENTRAL INDEX KEY: 0000031791 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 042052042 STATE OF INCORPORATION: MA FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781 663 5776 MAIL ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: EG&G INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: EDGERTON GERMESHAUSEN & GRIER INC DATE OF NAME CHANGE: 19670626 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DiVincenzo Jonathan P. CENTRAL INDEX KEY: 0001453524 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 151267478 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER, INC. LEGAL DEPARTMENT CITY: WALTHAM STATE: MA ZIP: 02451 FORMER NAME: FORMER CONFORMED NAME: DiVincenzo Jonathan DATE OF NAME CHANGE: 20090108 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-12-02 0 0000031791 PERKINELMER INC PKI 0001453524 DiVincenzo Jonathan P. 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2015-12-02 4 F 0 1721 53.66 D 16063 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 2, 2013, as required by the Reporting Person's Restricted Stock Agreement. Senior Vice President and President, Environmental Health /s/ John L. Healy (POA on file) for Jonathan P. DiVincenzo 2015-12-03