SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DAVIS JEFFREY S

(Last) (First) (Middle)
622 EMERSON ROAD
SUITE 400

(Street)
ST. LOUIS MO 63141

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PERFICIENT INC [ PRFT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
COO
3. Date of Earliest Transaction (Month/Day/Year)
07/14/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/15/2004 A 87,500(4) A $6.31 129,735 D
Common Stock 04/18/2005 A 20,000 A $1.15 149,735 D
Common Stock 07/14/2005 A 15,000 A $0.3375 164,735 D
Common Stock 07/14/2005 S 15,000 D $8 149,735 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock option $0.3375 10/01/2002 10/12/2011 Common stock 27,654 27,654 D
Stock option $1.35 10/01/2002(1) 10/12/2011 Common stock 110,810 138,464 D
Stock option $1.15 07/01/2003(1) 06/25/2012 Common stock 85,000 223,464 D
Stock option $0.5 02/13/2004(1) 02/13/2013 Common stock 83,335 306,799 D
Stock option $2.28 12/11/2004(2) 12/11/2013 Common stock 125,000 431,799 D
Stock Option $6.31 12/15/2004 A 200,000 01/01/2005(3) 12/15/2012 Common Stock 200,000 $6.31 631,799 D
Stock Option $1.15 04/18/2005 M 20,000 07/01/2003(1) 06/25/2012 Common Stock 20,000 $1.15 611,799 D
Stock Option $0.3375 07/14/2005 M 15,000 10/01/2002 10/12/2011 Common Stock 15,000 $0.3375 596,799 D
Explanation of Responses:
1. 1/3 of the option grant is exercisable on Date Exercisable in the table above and the remainder is exercisable ratably over the subsequent 8 quarters.
2. 1/4 of the option grant is exercisable on the Date Exercisable in the table above and the remainder is exercisable ratably over the subsequent 12 quarters.
3. This option grant becomes exercisable over 7 years starting 1/1/05.
4. Subject to vesting restrictions.
Jeffrey S. Davis 07/18/2005
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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