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