0001628280-23-031032.txt : 20230830 0001628280-23-031032.hdr.sgml : 20230830 20230830203755 ACCESSION NUMBER: 0001628280-23-031032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230827 FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 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: 231226600 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: 1230 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_169344226128490.xml FORM 4 X0508 4 2023-08-27 0 0001039399 FORMFACTOR INC FORM 0001590177 SLESSOR MIKE 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 1 0 0 CEO 0 Common Stock 2023-08-27 4 M 0 16667 0 A 579803 D Common Stock 2023-08-27 4 F 0 8624 31.25 D 571179 D Restricted Stock Units 0.0 2023-08-27 4 M 0 16667 0 D Common Stock 16667.0 0 D The Restricted Stock Units vest in three annual installments on each August 27 2021, 2022, 2023 and will be settled into shares of common stock on or following the vesting dates. Represents the number of shares withheld upon vesting of 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 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. By: /s/ Stan Finkelstein, Attorney-in-Fact for Mike Slessor 2023-08-30