0001788948-24-000002.txt : 20240521 0001788948-24-000002.hdr.sgml : 20240521 20240521192505 ACCESSION NUMBER: 0001788948-24-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20240517 FILED AS OF DATE: 20240521 DATE AS OF CHANGE: 20240521 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Obregon-Jimenez Rebeca CENTRAL INDEX KEY: 0001788948 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 24971318 MAIL ADDRESS: STREET 1: 3748 E MARE COURT CITY: PHOENIX STATE: AZ ZIP: 85044 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORMFACTOR INC CENTRAL INDEX KEY: 0001039399 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 133711155 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 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 wk-form4_1716333888.xml FORM 4 X0508 4 2024-05-17 0 0001039399 FORMFACTOR INC FORM 0001788948 Obregon-Jimenez Rebeca 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 0 Common Stock 2024-05-17 4 A 0 3828 0 A 15431 D The reporting person was granted restricted stock units ("RSUs") pursuant to a grant approved by the Board in March 2024. If the reporting person ceases to provide services to the Issuer for any reason, all Restricted Stock Units that have not yet vested shall be forfeited without consideration except as provided in our Equity Grant Policy for Outside Directors and any other agreements between the reporting person and Issuer, regarding award vesting and exercisability. RSUs vest monthly and become exercisable on the earlier of the 2025 Annual Meeting of Stockholders and May 17, 2025 (the earliest to occur, the Settlement Date). Settlements of vested units into common stock will occur on the earlier of the Settlement Date and the date the reporting person ceases to provide service to the Issuer, and thereafter on the first market trading day if the applicable date is not a market trading day. /s/: Stan Finkelstein, Attorney-in-fact for: Rebeca Obregon-Jimenez 2024-05-21 EX-24 2 obregon-jimenez_powerofa.htm EX-24 obregon-jimenez_powerofa
POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Shai Shahar, Stan Finkelstein and Vandana Chand as the undersigned’s true and lawful attorneys-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or member of the Board of Directors of FormFactor, Inc. (the “Company”), Forms 3, 4 and 5, including any amendments thereto, in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder (the “Exchange Act”); (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and execute any amendment or amendments thereto and timely file such form with the United States Securities and Exchange Commission and the applicable stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of any of such attorneys-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by any of such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as any of such attorneys-in-fact may approve in his discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to act separately and to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that any of such attorneys-in-fact, or the substitute or substitutes of any of such attorneys-in-fact, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Exchange Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this ___ day of March, 2024. Signature: Name: Rebeca Obregon-Jimenez (Mar 4, 2024 18:19 PST) Rebeca Obregon-Jimenez Rebeca Obregon-Jimenez 4


 
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