0001039399-22-000080.txt : 20220804 0001039399-22-000080.hdr.sgml : 20220804 20220804190722 ACCESSION NUMBER: 0001039399-22-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220802 FILED AS OF DATE: 20220804 DATE AS OF CHANGE: 20220804 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: 221138198 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_165965435860158.xml FORM 4 X0306 4 2022-08-02 0 0001039399 FORMFACTOR INC FORM 0001733068 Shahar Shai 7005 SOUTHFRONT RD. LIVERMORE CA 94551 0 1 0 0 CFO, SVP Global Finance Common Stock 2022-08-02 4 M 0 4888 0 A 76163 D Common Stock 2022-08-02 4 F 0 2424 34.85 D 74029 D Restricted Stock Units 0.0 2022-08-02 4 M 0 4888 0 D Common Stock 4888.0 0 D The Restricted Stock Units vest in three annual installments on each August 2 of 2022, 2023, and 2024 and will be settled into shares of common stocks on or following the vesting dates. Represents the number of shares withheld upon vesting of restricted stock units to cover tax withholding obligations. Total includes an additional 290 shares acquired via an ESPP purchase on 7/31/2022. If the reporting person's employment is terminated for any reason before an applicable vesting date, all options and/or 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 award 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 2022-08-04