0000899243-17-018428.txt : 20170718 0000899243-17-018428.hdr.sgml : 20170718 20170718160536 ACCESSION NUMBER: 0000899243-17-018428 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170717 FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170718 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Butters Deborah A. CENTRAL INDEX KEY: 0001677715 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 17969598 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: PERKINELMER CITY: WALTHAM STATE: MA ZIP: 02451 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-07-17 0 0000031791 PERKINELMER INC PKI 0001677715 Butters Deborah A. 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2017-07-17 4 F 0 955 69.46 D 8031 D These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on July 15, 2016, as required by the Reporting Person's Restricted Stock Agreement. Senior Vice President, Chief Human Resources Officer /s/ John L. Healy (POA on file) for Deborah A. Butters 2017-07-18