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