0001550695-24-000063.txt : 20240801 0001550695-24-000063.hdr.sgml : 20240801 20240801171825 ACCESSION NUMBER: 0001550695-24-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240730 FILED AS OF DATE: 20240801 DATE AS OF CHANGE: 20240801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HANSEN WILLIAM DEAN CENTRAL INDEX KEY: 0001265886 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35628 FILM NUMBER: 241167916 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performant Financial Corp CENTRAL INDEX KEY: 0001550695 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 200484934 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 4309 HACIENDA DR STREET 2: SUITE 110 CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 925-960-4800 MAIL ADDRESS: STREET 1: 4309 HACIENDA DR STREET 2: SUITE 110 CITY: PLEASANTON STATE: CA ZIP: 94588 4 1 wk-form4_1722547098.xml FORM 4 X0508 4 2024-07-30 0 0001550695 Performant Financial Corp PFMT 0001265886 HANSEN WILLIAM DEAN 900 SOUTH PINE ISLAND ROAD, SUITE 150 PLANTATION FL 33324 1 0 0 0 0 Restricted Stock Units 2024-07-30 4 A 0 36011 0 A Common Stock 36011 36011 D Each restricted stock unit represents a contingent right to receive one share of PFMT's common stock. The units were awarded at no cost to Reporting Person. Restricted Stock Unit Award was granted on July 30, 2024. The Restricted Stock Units will vest with respect to 100% of the shares subject to the award on the earlier of the Registrant's 2025 annual meeting of stockholders or a Change in Control (as defined in the Registrant's Amended and Restated 2012 Stock Incentive Plan). The restricted stock units may be settled only for shares of common stock on a one-for-one basis. Exhibit List Exhibit 24 - Confirming Statement /s/ Rohit Ramchandani, Attorney-in-Fact for William D. Hansen 2024-08-01 EX-24 2 williamdhansenpoaforrr.htm EX-24 Document

Power of Attorney

Know all by these presents that the undersigned hereby constitutes and appoints Rohit Ramchandani, signing singly, the undersigned's true and lawful attorney-in-fact to:

(1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of Performant Financial Corporation, a Delaware corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

(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 any 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 such attorney-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 such attorney-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 such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority 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 such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, 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 Securities Exchange Act of 1934.

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 attorney-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 15th day of May, 2024.


/s/ William D. Hansen

William D. Hansen