0000950103-18-004378.txt : 20180403 0000950103-18-004378.hdr.sgml : 20180403 20180403163500 ACCESSION NUMBER: 0000950103-18-004378 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180330 FILED AS OF DATE: 20180403 DATE AS OF CHANGE: 20180403 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: 18733902 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 dp89047_4-lev.xml FORM 4 X0306 4 2018-03-30 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 2018-03-30 4 A 0 12750 0 A 123252 D Restricted stock units vest over 3 years with equal parts vesting on each anniversary of the vesting commencement date of March 30, 2018. Excludes performance restricted stock units that will be determined based on performance factors following 2018 fiscal year end. /s/ Marty Estkowski, as attorney-in-fact for Lavi Lev 2018-04-03