0000899243-18-013200.txt : 20180517 0000899243-18-013200.hdr.sgml : 20180517 20180517160602 ACCESSION NUMBER: 0000899243-18-013200 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180515 FILED AS OF DATE: 20180517 DATE AS OF CHANGE: 20180517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mock James M CENTRAL INDEX KEY: 0001736359 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 18842992 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 2018-05-15 0 0000031791 PERKINELMER INC PKI 0001736359 Mock James M 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2018-05-15 4 A 0 27089 0.00 A 27089 D Common Stock 2018-05-15 4 A 0 4000 0.00 A 31089 D NQ Stock Option (right to buy) 73.83 2018-05-15 4 A 0 17038 0.00 A 2025-05-15 Common Stock 17038 17038 D Shares are time-based restricted stock that will vest in three equal annual installments beginning on the first anniversary of the date of grant. Shares are time-based restricted stock that will vest in full on January 30, 2021. This option vests in three equal annual installments beginning on January 30, 2019, and has a 7 year exercise term. Senior Vice President and Chief Financial Officer /s/ John L. Healy (POA on file) for James M. Mock 2018-05-17