UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON
,
D.C.
20549
FORM SD
Specialized Disclosure Report
PERCEPTRON, INC.
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(Exact
n
ame of
r
egistrant as
s
pecified in
its
c
harter)
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Michigan
(State or Other Jurisdiction of
Incorporation or Organization)
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38-2381442
(I.R.S. Employer
Identification No.)
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47827 Halyard Drive, Plymouth, Michigan
(Address of Principal Executive Offices)
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48170-2461
(Zip Code)
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(734) 414-6100
(Registrant’s Telephone Number, Including Area Code)
W. Richard Marz
(734) 414-6100
(Name and te
lephone 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:
[
x
]
Rule 13p-1 under the
Securities
Exchange
Act
(17
CFR 2
40.13p-1) for the reporting period from January 1, 201
5
to December 31, 201
5
.
Section 1 – Conflict Minerals Disclosure
Item 1.01
Conflict Minerals Disclosure and Report
The Company has filed a Conflict Minerals Report, which appears as Exhibit 1.01 hereto and is publicly available at
http://www.perceptron.com under the Investors tab
.
Item 1.02
Exhibit
A copy of the Company’s Conflict Minerals Report is provided as Exhibit 1.01 hereto.
Section 2 – Exhibits
Item 2.01
Exhibits
Exhibit 1.01
-
Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.
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 undersigned thereunto duly authorized.
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Perceptron, Inc.
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(Registrant)
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Date: May
31
, 2016
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By:
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/s/ W. Richard Marz
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W. Richard Marz
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Chairman of the Board, President and Chief Executive Officer
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EXHIBIT INDEX
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Exhibit
Number Description
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1.01
Conflict Minerals Report