0000899243-22-005206.txt : 20220208 0000899243-22-005206.hdr.sgml : 20220208 20220208160518 ACCESSION NUMBER: 0000899243-22-005206 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220204 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 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: 22601587 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: 1229 BUSINESS ADDRESS: STREET 1: 940 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-663-5791 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 2022-02-04 0 0000031791 PERKINELMER INC PKI 0001665985 Tereau Daniel R 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 Please See Remarks Common Stock 2022-02-04 4 A 0 994 0.00 A 11099 D Common Stock 2022-02-07 4 A 0 4942 0.00 A 16041 D Common Stock 2022-02-07 4 F 0 2123 182.95 D 13918 D Common Stock 2022-02-07 4 F 0 538 182.95 D 13380 D NQ Stock Option (right to buy) 184.61 2022-02-04 4 A 0 3532 0.00 A 2029-02-04 Common Stock 3532 3532 D Shares are time-based restricted stock that are scheduled to fully vest on the third anniversary of the date of grant. Shares of common stock issued upon vesting of performance-based restricted stock units in accordance with the terms of a Performance-based Restricted Stock Unit award originally granted on February 5, 2019. These shares are being surrendered to satisfy a tax withholding obligation upon vesting of performance-based restricted stock units originally granted on February 5, 2019, as required by the Reporting Person's Performance-based Restricted Stock Unit Agreement. These shares are being surrendered to satisfy a tax withholding obligation upon vesting of restricted stock originally granted on February 5, 2019, as required by the Reporting Person's Restricted Stock Agreement. 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/ John L. Healy (POA on file) for Daniel R. Tereau 2022-02-08