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