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