0000899243-22-017243.txt : 20220509 0000899243-22-017243.hdr.sgml : 20220509 20220509160523 ACCESSION NUMBER: 0000899243-22-017243 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220506 FILED AS OF DATE: 20220509 DATE AS OF CHANGE: 20220509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MICHAS ALEXIS P CENTRAL INDEX KEY: 0001044005 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 22904846 MAIL ADDRESS: STREET 1: 940 WINTER STREET STREET 2: C/O 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 2022-05-06 0 0000031791 PERKINELMER INC PKI 0001044005 MICHAS ALEXIS P 940 WINTER STREET WALTHAM MA 02451 1 0 0 0 Common Stock 2022-05-06 4 A 0 827 0.00 A 57058 D Common Stock 2022-05-06 4 A 0 1069 0.00 A 58127 D Common Stock 500 I By spouse IRA Common Stock 10411 I By The Cayre and Alexis Michas Foundation Corp. The reporting person was granted restricted stock units, with each unit representing a contingent right to receive one share of the issuer's common stock. The grant of restricted stock units will fully vest on April 25, 2023, the scheduled date for the issuer's next annual meeting of shareholders, subject to the reporting person's continued service through such date or, if earlier, upon the reporting person's death, disability or qualifying retirement, or the termination of the reporting person's service within 12 months following a change in control. Includes shares related to dividends on shares in the Deferred Compensation Plan in the Reporting Person's account. Securities held in a charitable foundation that was established for the sole purpose of making charitable contributions. The directors of the foundation are the reporting person, his spouse and their adult children. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein, if any, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. /s/ John L. Healy (POA on file) for Alexis P. Michas 2022-05-09