SEC Form 4 · accession 0001631148-15-000005
PERCEPTRON INC/MI · PRCP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sylvia Smith
Officer — Vice President & CAO
Period of report
Sep 15, 2015
Accepted (ET)
Sep 17, 2015 · 11:10 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000887226
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Stock Option | Sep 15, 2015 | M | 1,000 | $5.70 | A | 26,307 | D | |
| Common Stock | Sep 15, 2015 | S | 1,000 | $10.00 | D | 25,307 | D | |
| Stock Option | Sep 15, 2015 | M | 1,000 | $6.14 | A | 26,307 | D | |
| Common Stock | Sep 15, 2015 | S | 1,000 | $10.00 | D | 25,307 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F1 | $5.70 | Sep 15, 2015 | M | 1,000 | D | — | Sep 3, 2022 | Common Stock | 1,000 | 1,000 | D |
| Employee Stock Option (right to buy)F2 | $6.14 | Sep 15, 2015 | M | 1,000 | D | — | Aug 31, 2021 | Common Stock | 1,000 | 0 | D |
Explanation of responses
- F1On 09/04/2012, the reporting person was granted an option to purchase 4,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The shares are exercisable in four equal installments beginning on September 4, 2013 at an exercise price equal to the fair market value of the Company's Common Stock as of September 4, 2012, expiring 10 years from the grant date.
- F2On 09/01/2011, the reporting person was granted an option to purchase 4,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The shares are exercisable in four equal installments beginning on September 1, 2012 at an exercise price equal to the fair market value of the Company's Common Stock as of September 1, 2011, expiring 10 years from the grant date.