-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DjrV1535d3os6h8r18/Bced5taHcmk7HtUClxig7ZhN9WGP2MA1Q3z5L981LrhkC Lfxua2qpSA6WwYiwBFe7lg== 0001423042-09-000011.txt : 20091211 0001423042-09-000011.hdr.sgml : 20091211 20091211171818 ACCESSION NUMBER: 0001423042-09-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091210 FILED AS OF DATE: 20091211 DATE AS OF CHANGE: 20091211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERKADEAU STUART L CENTRAL INDEX KEY: 0001256951 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 091236986 MAIL ADDRESS: STREET 1: 2140 RESEARCH DRIVE CITY: LIVERMORE STATE: CA ZIP: 94550 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORMFACTOR INC CENTRAL INDEX KEY: 0001039399 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 133711155 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 BUSINESS PHONE: 9252433522 MAIL ADDRESS: STREET 1: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2009-12-10 0 0001039399 FORMFACTOR INC FORM 0001256951 MERKADEAU STUART L 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 0 1 0 0 SR VP GENERAL COUNSEL Common Stock 2009-12-10 4 M 0 5000 6.5 A 17607 D Common Stock 2009-12-10 4 S 0 5000 20.11 D 12607 D Non-Qualified Stock Option (right to buy) 6.5 2009-12-10 4 M 0 5000 0 D 2012-04-17 Common Stock 5000 14616 D Pursuant to Rule 10b5-1 Plan adopted September 14, 2009. The option, which was immediately exercisable, vested over a one-year period in equal monthly installments, starting July 05, 2006. THE CONFIRMING STATEMENT GRANTING THE ATTORNEY-IN-FACT THE AUTHORITY TO EXECUTE AND FILE THIS FORM 4 HAS BEEN PREVIOUSLY FILED WITH THE U.S. SECURITIES AND EXCHANGE COMMISSION. By: \s\Henry I. Feir, Attorney-in-Fact For: Stuart L. Merkadeau 2009-12-11 -----END PRIVACY-ENHANCED MESSAGE-----