0000899243-16-013032.txt : 20160210 0000899243-16-013032.hdr.sgml : 20160210 20160210165327 ACCESSION NUMBER: 0000899243-16-013032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160209 FILED AS OF DATE: 20160210 DATE AS OF CHANGE: 20160210 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: Tereau Daniel R CENTRAL INDEX KEY: 0001665985 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 161406407 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER CITY: WALTHAM STATE: MA ZIP: 02451 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-09 0 0000031791 PERKINELMER INC PKI 0001665985 Tereau Daniel R 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2016-02-09 4 A 0 3336 0.00 A 9641 D NQ Stock Option (right to buy) 42.47 2016-02-09 4 A 0 15005 0.00 A 2023-02-09 Common Stock 15005 15005 D Shares are time-based restricted stock that are scheduled to fully vest on the third anniversary of the date of grant. This option is scheduled to vest in three equal annual installments beginning on the first anniversary of the date of grant. Senior Vice President, Strategy and Business Development /s/ Joel S. Goldberg (POA on file) for Daniel R. Tereau 2016-02-10