0001039399-17-000021.txt : 20170509 0001039399-17-000021.hdr.sgml : 20170509 20170509183124 ACCESSION NUMBER: 0001039399-17-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170505 FILED AS OF DATE: 20170509 DATE AS OF CHANGE: 20170509 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 FISCAL YEAR END: 1226 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LUDWIG MICHAEL M CENTRAL INDEX KEY: 0001256949 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 17827923 MAIL ADDRESS: STREET 1: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 4 1 wf-form4_149436906963657.xml FORM 4 X0306 4 2017-05-05 0 0001039399 FORMFACTOR INC FORM 0001256949 LUDWIG MICHAEL M 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 0 1 0 0 SR VP, CFO Common Stock 2017-05-05 4 M 0 15000 0 A 254369 D Common Stock 2017-05-05 4 F 0 5637 14.25 D 248732 D Restricted Stock Units 0.0 2017-05-05 4 M 0 15000 0 D Common Stock 15000.0 0 D Exempt transaction pursuant to Section 16b-3(e) - payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3. All of the shares reported as disposed of in this Form 4 were relinquished by the Reporting Person and cancelled by the Issuer in exchange for the Issuer's agreement to pay federal and state tax withholding obligations of the Reporting Person resulting from the vesting of RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares for any reason other than to cover required taxes. The Restricted Stock Units vest and are exercisable in three annual installments on each May 5 of 2015, 2016, and 2017 (or the first market trading day during an open trading window under the Issuer's insider trading policy thereafter if the applicable vesting date is not on a market trading day during an open trading window). The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement. By: Jason Cohen For: Michael M Ludwig 2017-05-09