0001039399-21-000042.txt : 20210526
0001039399-21-000042.hdr.sgml : 20210526
20210526185638
ACCESSION NUMBER: 0001039399-21-000042
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210526
FILED AS OF DATE: 20210526
DATE AS OF CHANGE: 20210526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SLESSOR MIKE
CENTRAL INDEX KEY: 0001590177
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50307
FILM NUMBER: 21967872
MAIL ADDRESS:
STREET 1: 7005 SOUTHFRONT ROAD
CITY: LIVERMORE
STATE: CA
ZIP: 94551
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: 1225
BUSINESS ADDRESS:
STREET 1: 7005 SOUTHFRONT ROAD
CITY: LIVERMORE
STATE: CA
ZIP: 94551
BUSINESS PHONE: 9252904000
MAIL ADDRESS:
STREET 1: 7005 SOUTHFRONT ROAD
CITY: LIVERMORE
STATE: CA
ZIP: 94551
4
1
wf-form4_162206978396578.xml
FORM 4
X0306
4
2021-05-26
0
0001039399
FORMFACTOR INC
FORM
0001590177
SLESSOR MIKE
7005 SOUTHFRONT ROAD
LIVERMORE
CA
94551
1
1
0
0
CEO
Common Stock
2021-05-26
4
S
0
15010
34.6776
D
332511
D
This transaction was effected pursuant to a 10b5-1 trading plan adopted by the reporting person in accordance with Rule 10b5-1 of the Securities Exchange Act of 1934, as amended.
Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $34.418 through $35.31. 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.
By: /s/Jason Cohen, Attorney-in-Fact For: Mike Slessor
2021-05-26
EX-24
2
poa_slessorx91715.txt
SLESSOR POA
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Jason Cohen, Stan Finkelstein and Michael M. Ludwig, signing singly,
the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and (or) director of FormFactor, Inc. (the "Company"), Forms 3, 4
and 5 (including amendments thereto) in accordance with Section 16(a) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules
and regulations thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned that
may be necessary or desirable to complete and execute any such Forms 3, 4 or 5
and timely file such form (including amendments thereto) with the United States
Securities and Exchange Commission and any stock exchange or similar authority;
and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to such attorney-in-fact full power and authority
to do and perform any and every act and thing whatsoever requisite, necessary or
proper to be done in the exercise of any of the rights and powers herein granted
as fully to all intents and purposes as the undersigned might or could do if
personally present, with full power of substitution and revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such attorney-in-
fact's substitute or substitutes, shall lawfully do or cause to be done by
virtue of this power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorney-in-fact, in serving in such
capacity at the request of the undersigned, is not assuming, nor is the Company
assuming, any of the undersigned's responsibilities to comply with Section 16
of the Exchange Act.
The undersigned agrees that such attorney-in-fact may rely entirely on
information furnished orally or in writing by the undersigned to such attorney-
in-fact. The undersigned also agrees to indemnify and hold harmless the Company
and such attorney-in-fact against any losses, claims, damages or liabilities
(or actions in these respects) that arise out of or are based on any untrue
Statement or omission of necessary facts in the information provided by the
undersigned to such attorney-in-fact for purposes of executing, acknowledging,
delivering and filing Forms 3, 4 or 5 (including amendments thereto) and agrees
to reimburse the Company and such attorney-in-fact for any legal or other
expenses reasonably incurred in connection with investigating or defending
against any such loss, claim, damage, liability or action.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier (a) revoked by the undersigned in a signed writing delivered to
the foregoing attorney-in-fact or (b) superseded by a new power of attorney
regarding the purposes outlined in the first paragraph hereof as of a later
date.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 17th day of September, 2015.
/s/Mike Slessor