-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IaNnH8jW15nkpOudTuL5EnVaJZeJrdPliMrheN0Ect/UT79h8DLKyE/oFpH1nCsu eKJDRijxySe0kaXEhR2heg== 0001181431-11-004857.txt : 20110124 0001181431-11-004857.hdr.sgml : 20110124 20110124172502 ACCESSION NUMBER: 0001181431-11-004857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110120 FILED AS OF DATE: 20110124 DATE AS OF CHANGE: 20110124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARSHAK DANIEL R CENTRAL INDEX KEY: 0001192624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-05075 FILM NUMBER: 11544469 MAIL ADDRESS: STREET 1: C/O CAMBREX CORP STREET 2: ONE MEADOWLANDS PLZ CITY: EAST RUTHERFORD STATE: NJ ZIP: 07073 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 rrd298499.xml FORM 4 X0303 4 2011-01-20 0 0000031791 PERKINELMER INC PKI 0001192624 MARSHAK DANIEL R 940 WINTER STREET WALTHAM MA 02451 0 1 0 0 SVP & CSO Common Stock 2011-01-20 4 D 0 3022 0.00 D 24864 D Common Stock 2011-01-20 4 F 0 1149 25.18 D 23715 D Forfeiture to the Company of shares of performance-based restricted stock, which were granted on January 29, 2008 and forfeited when conditions to vesting were not achieved. The Reporting Person's direct holdings include shares acquired pursuant to the Reporting Person's (i) election to defer stock and/or compensation into the Deferred Compensation Plan, and/or (ii) reinvestment of dividends relating to the Reporting Person's account. These shares are being surrendered to satisfy a tax withholding obligation upon vesting of performance-based restricted stock originally granted on February 3, 2009, as required by the Reporting Person's Restricted Stock Agreement. /s/ John L. Healy (POA on file) 2011-01-24 -----END PRIVACY-ENHANCED MESSAGE-----