0000950103-16-011268.txt : 20160222 0000950103-16-011268.hdr.sgml : 20160222 20160222163833 ACCESSION NUMBER: 0000950103-16-011268 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160218 FILED AS OF DATE: 20160222 DATE AS OF CHANGE: 20160222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ultra Clean Holdings, Inc. CENTRAL INDEX KEY: 0001275014 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 611430858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 BUSINESS PHONE: (510) 576-4400 MAIL ADDRESS: STREET 1: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 FORMER COMPANY: FORMER CONFORMED NAME: ULTRA CLEAN HOLDINGS INC DATE OF NAME CHANGE: 20031231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEV LAVI CENTRAL INDEX KEY: 0001103963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 161445489 MAIL ADDRESS: STREET 1: C/O ULTRA CLEAN HOLDINGS INC. STREET 2: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 4 1 dp63617_4-lev.xml FORM 4 X0306 4 2016-02-18 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001103963 LEV LAVI ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVENUE HAYWARD CA 94545 0 1 0 0 SVP, Asia Common Stock 2016-02-18 4 A 0 4200 0.0000 A 80557 D Share amounts represent performance restricted stock units. The final award amount was determined based on performance factors achieved for fiscal 2015. The performance restricted stock units vest in three equal annual installments on each anniversary of the vesting commencement date, February 27, 2015. /s/ Marty Estkowski, as attorney-in-fact for Lavi Lev 2016-02-22