0001039399-17-000058.txt : 20170615 0001039399-17-000058.hdr.sgml : 20170615 20170615165340 ACCESSION NUMBER: 0001039399-17-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170614 FILED AS OF DATE: 20170615 DATE AS OF CHANGE: 20170615 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: St Dennis Thomas CENTRAL INDEX KEY: 0001339595 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 17914016 MAIL ADDRESS: STREET 1: C/O FORMFACTOR, INC. STREET 2: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 4 1 wf-form4_149756000329554.xml FORM 4 X0306 4 2017-06-14 0 0001039399 FORMFACTOR INC FORM 0001339595 St Dennis Thomas 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 Common Stock 2017-06-14 4 M 0 400 10.37 A 41066 D Common Stock 2017-06-14 4 S 0 400 13.925 D 40666 D Non-Qualified Stock Option (right to buy) 10.37 2017-06-14 4 M 0 400 10.37 D 2018-04-29 Common Stock 400.0 20867 D The Stock Option was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vest over 4 years, with 25% vesting on April 29, 2012 and the remainder vesting in equal annual installments over the following three years. By: /s/ Jason Cohen, Attorney-in-Fact For: Thomas St. Dennis 2017-06-15