0001039399-22-000067.txt : 20220721 0001039399-22-000067.hdr.sgml : 20220721 20220721161835 ACCESSION NUMBER: 0001039399-22-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220719 FILED AS OF DATE: 20220721 DATE AS OF CHANGE: 20220721 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shahar Shai CENTRAL INDEX KEY: 0001733068 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 221097251 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: 1231 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_165843469558387.xml FORM 4 X0306 4 2022-07-19 0 0001039399 FORMFACTOR INC FORM 0001733068 Shahar Shai 7005 SOUTHFRONT RD. LIVERMORE CA 94551 0 1 0 0 CFO, SVP Global Finance Common Stock 2022-07-19 4 M 0 48401 0 A 93058 D Common Stock 2022-07-19 4 F 0 21783 38.87 D 71275 D Performance Shares 0.0 2022-07-19 4 A 0 48401 0 A Common Stock 48401.0 48401 D Performance Shares 0.0 2022-07-19 4 M 0 48401 0 D Common Stock 48401.0 0 D The Performance-based RSUs will become vested as to 100% of the total number of PRSUs earned based on results of the performance goal July 1, 2019 - June 30, 2022 on the date the Performance conditions are determined to be satisfied. The Performance-Based Restricted Stock Units released were settled in shares of common stock and were immediately cancelled upon settlement. Represents the number of shares withheld upon vesting of performance restricted stock units to cover tax withholding obligations. If the reporting person's employment is terminated for any reason before an applicable Vesting Date, all Performance-Based Restricted Stock Units that have not yet vested shall be forfeited without consideration, except as provided in the change of control severance agreement and any other agreements regarding equity vesting and exercisability between the reporting person and Issuer, which agreements or form agreements are filed with the SEC. Stan Finkelstein, attorney-in-fact for Shai Shahar 2022-07-21