Confidential Materials omitted and filed separately with the Securities and Exchange Commission. Asterisks denote omissions. PerkinElmer, Inc. Restricted Stock Agreement Granted under 2001 Stock Incentive PlanRestricted Stock Agreement • May 7th, 2004 • Perkinelmer Inc • Laboratory analytical instruments • Massachusetts
Contract Type FiledMay 7th, 2004 Company Industry JurisdictionAGREEMENT made this twenty-seventh day of January, 2004, between PerkinElmer, Inc., a Massachusetts corporation (the “Company”), and (the “Participant”).