SEC Form 4 · accession 0001631148-17-000041
PERCEPTRON INC/MI · PRCP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Lawrence Watza
Officer — President, CEO and CFO
Period of report
Oct 2, 2017
Accepted (ET)
Oct 4, 2017 · 3:50 pm 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 |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 2, 2017 | A | 8,200 | $0.00 | A | 22,892 | 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)F2 | $7.95 | Oct 2, 2017 | A | 100,000 | A | — | Oct 2, 2027 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1On October 2, 2017, the reporting person was granted 8,200 restricted stock units under the 2004 Stock Incentive Plan, an exempt plan. Each restricted stock unit represents a contingent right to receive one share of Common Stock of the Issuer. Provided the reporting person remains employed with the Issuer on each of the relevant dates, the units will vest as follows: 2,733 units will vest on the first anniversary of the grant date; 2,733 units will vest on the second anniversary of the grant date; 2,734 units
- F2On October 2, 2017, the reporting person was granted an option to purchase 100,000 shares of Common Stock under the 2004 Stock Incentive Plan, an exempt plan. The shares are exercisable in three equal annual installments beginning October 2, 2018 at the exercise price equal to the fair market value of the Company's Common Stock as of October 2, 2017, expiring ten years from the grant date.