0001039399-17-000031.txt : 20170517 0001039399-17-000031.hdr.sgml : 20170517 20170517200445 ACCESSION NUMBER: 0001039399-17-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170515 FILED AS OF DATE: 20170517 DATE AS OF CHANGE: 20170517 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: ROGAS EDWARD JR CENTRAL INDEX KEY: 0001239379 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 17853260 MAIL ADDRESS: STREET 1: C/O VITESSE SEMICONDUCTOR CORPORATION STREET 2: 4721 CALLE CARGA CITY: CAMARILLO STATE: CA ZIP: 93012 4 1 wf-form4_149506587023025.xml FORM 4 X0306 4 2017-05-15 0 0001039399 FORMFACTOR INC FORM 0001239379 ROGAS EDWARD JR 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 Common Stock 2017-05-15 4 M 0 6000 8.91 A 56000 D Common Stock 2017-05-15 4 S 0 6000 13.9033 D 50000 D Non-Qualified Stock Option (right to buy) 8.91 2017-05-15 4 M 0 6000 8.91 D 2017-10-19 Common Stock 6000.0 0 D Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.85 through $13.95. Reporting person undertakes to provide upon request by the SEC staff or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. The Stock Option which was granted on October 19, 2010 was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vests in equal monthly installments over 3 years. By: /s/Jason Cohen, Attorney-in-Fact For: Edward Rogas, Jr. 2017-05-17