0000950103-16-013780.txt : 20160531 0000950103-16-013780.hdr.sgml : 20160531 20160531175855 ACCESSION NUMBER: 0000950103-16-013780 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160526 FILED AS OF DATE: 20160531 DATE AS OF CHANGE: 20160531 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mezhvinsky Leonid CENTRAL INDEX KEY: 0001367203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 161687285 MAIL ADDRESS: STREET 1: C/O ULTRA CLEAN TECHNOLOGY STREET 2: 150 INDEPENDENCE DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 dp65986_4-mezhvinsky.xml FORM 4 X0306 4 2016-05-26 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001367203 Mezhvinsky Leonid ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVE HAYWARD CA 94545 1 0 0 0 Common Stock 2016-05-26 4 A 0 10000 0 A 56000 D Common Stock 15000 I by Trust Restricted stock award vests 100% the earlier of the day before the next annual stockholder meeting or 1 year from the date of grant. Revocable Trust of Leonid Mezhvinsky and Inna Mezhvinsky, dated April 26, 1988. /s/ Marty Estkowski, as attorney-in-fact for Leonid Mezhvinsky 2016-05-26