Specialized Disclosure Report (sd)
May 31 2016 - 8:00AM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM SD
SPECIALIZED DISCLOSURE REPORT
PerkinElmer,
Inc.
(Exact Name of Registrant as Specified in its Charter)
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Massachusetts
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001-05075
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04-2052042
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(State or Other Jurisdiction of
Incorporation or Organization)
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(Commission
File Number)
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(IRS 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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John L. Healy (781) 663-6900
(Name and telephone number, including area code, of the person to contact in connection with this report.)
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in
this form applies:
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x
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Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2015.
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Section 1 Conflict Minerals Disclosure
Item 1.01 Conflict Minerals Disclosure and Report
The Conflict Minerals Report for the calendar year ended December 31, 2015, filed herewith as Exhibit 1.01, is available at
www.perkinelmer.com
under Our Company-Corporate Social Responsibility-Sustainable & Ethical Business Practices.
Item 1.02 Exhibit
Exhibit 1.01 Conflict Minerals Report of PerkinElmer, Inc. for the calendar year ended December 31, 2015
Section 2 Exhibits
Item 2.01 Exhibits
Exhibit 1.01 Conflict Minerals Report of PerkinElmer, Inc. for the calendar year ended December 31, 2015
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by
the duly authorized undersigned.
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PERKINELMER, INC.
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Date: May 31, 2016
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By:
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/s/ Joel S. Goldberg
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Joel S. Goldberg
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Senior Vice President, Administration, General Counsel and Secretary
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EXHIBIT INDEX
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Exhibit No.
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Description
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1.01
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Conflict Minerals Report of PerkinElmer, Inc. for the calendar year ended December 31, 2015
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