0000950103-18-002777.txt : 20180301
0000950103-18-002777.hdr.sgml : 20180301
20180301163126
ACCESSION NUMBER: 0000950103-18-002777
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180227
FILED AS OF DATE: 20180301
DATE AS OF CHANGE: 20180301
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: 18657859
MAIL ADDRESS:
STREET 1: C/O ULTRA CLEAN HOLDINGS INC.
STREET 2: 26462 CORPORATE AVENUE
CITY: HAYWARD
STATE: CA
ZIP: 94545
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: 1230
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
4
1
dp87537_4-lev.xml
FORM 4
X0306
4
2018-02-27
0
0001275014
Ultra Clean Holdings, Inc.
UCTT
0001103963
LEV LAVI
ULTRA CLEAN HOLDINGS, INC.
26462 CORPORATE AVE
HAYWARD
CA
94545
0
1
0
0
President, Asia
Common Stock
2018-02-27
4
F
0
340
19.41
D
112206
D
Common Stock
2018-02-27
4
F
0
1704
19.41
D
110502
D
Represents shares automatically withheld for payment of tax liability arising as a result of the partial settlement of restricted stock unit awards that vested.
/s/ Marty Estkowski, as attorney-in-fact for Lavi Lev
2018-03-01