Securities Registration (section 12(b)) (8-a12b)
July 19 2016 - 8:03AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF
THE SECURITIES EXCHANGE ACT OF 1934
PerkinElmer,
Inc.
(Exact name of registrant as specified in its charter)
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Massachusetts
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04-2052042
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(State of incorporation or organization)
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(I.R.S. Employer Identification No.)
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940 Winter Street
Waltham, Massachusetts
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02451
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(Address of principal executive offices)
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(Zip Code)
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Securities to be registered pursuant to Section 12(b) of the Act:
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Title of each class
to be so registered
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Name of each exchange on which
each class is to be registered
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1.875% Notes due 2026
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New York Stock Exchange LLC
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If this form relates to the registration of a class of securities pursuant to Section 12(b) of the Exchange Act and is effective pursuant to General
Instruction A.(c), check the following box.
x
If this form relates to the registration of
a class of securities pursuant to Section 12(g) of the Exchange Act and is effective pursuant to General Instruction A.(d), check the following box.
¨
Securities Act registration statement file number to which this form relates:
333-210279
(If
applicable)
Securities to be registered pursuant to Section 12(g) of the Act:
None
INFORMATION REQUIRED IN REGISTRATION STATEMENT
PerkinElmer, Inc. (the
Company
) has filed with the Securities and Exchange Commission (the
SEC
) a registration statement
on Form S-3 (File No. 333-210279) under the Securities Act of 1933, as amended (the
Securities Act
), and a prospectus dated March 18, 2016 (the
Base Prospectus
), as supplemented by a prospectus
supplement dated July 12, 2016 (the
Prospectus Supplement
), filed pursuant to Rule 424(b) under the Securities Act, relating to the securities to be registered hereunder. The Company incorporates by reference the Base
Prospectus and Prospectus Supplement to the extent set forth below.
Item 1.
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Description of Registrants Securities to be Registered.
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The information required by this item is
incorporated by reference to the information contained in the sections captioned Description of the Notes and Certain Material U.S. Federal Tax Considerations in the Prospectus Supplement and Description of Debt
Securities in the Base Prospectus.
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Exhibit
No.
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Exhibit Description
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4.1
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Indenture, dated as of October 25, 2011, between the Company and U.S. Bank National Association (incorporated herein by reference to Exhibit 99.1 to the Companys Current Report on Form 8-K filed with the SEC on October 27,
2011 (File No. 001-05075))
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4.2
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Third Supplemental Indenture, dated as of July 19, 2016, among the Company, U.S. Bank National Association, as trustee, and Elavon Financial Services DAC, UK Branch, as paying agent, including form of the Note (incorporated herein
by reference to Exhibit 4.2 to the Companys Current Report on Form 8-K filed with the SEC on July 19, 2016 (File No. 001-05075))
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4.3
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Paying Agency Agreement, dated as of July 19, 2016, between the Company, U.S. Bank National Association, as trustee, and Elavon Financial Services DAC, UK Branch, as paying agent, and Elavon Financial Services DAC, as transfer agent
and registrar (incorporated herein by reference to Exhibit 4.3 to the Companys Current Report on Form 8-K filed with the SEC on July 19, 2016 (File No. 001-05075))
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this registration statement to be
signed on its behalf by the undersigned, thereto duly authorized.
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PERKINELMER, INC.
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Date: July 19, 2016
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By:
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/s/ John L. Healy
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John L. Healy
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Vice President and Associate General Counsel
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