0000950103-17-002015.txt : 20170301 0000950103-17-002015.hdr.sgml : 20170301 20170301191926 ACCESSION NUMBER: 0000950103-17-002015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170227 FILED AS OF DATE: 20170301 DATE AS OF CHANGE: 20170301 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: HAYWARD DEBORAH E CENTRAL INDEX KEY: 0001283713 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 17656388 MAIL ADDRESS: STREET 1: 150 INDEPENDENCE DR STREET 2: C/O ULTRA CLEAN CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: HAYWARD DEBORAH DATE OF NAME CHANGE: 20040315 4 1 dp73546_4-hayward.xml FORM 4 X0306 4 2017-02-27 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001283713 HAYWARD DEBORAH E ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVE HAYWARD CA 94545 0 1 0 0 SVP, Global Acct Mgmt Common Stock 2017-02-27 4 F 0 218 14.57 D 104950 D Common Stock 2017-02-27 4 F 0 1094 14.57 D 103856 D Common Stock 2017-02-28 4 F 0 290 13.85 D 103566 D Common Stock 2017-02-28 4 F 0 957 13.85 D 102609 D Represents shares withheld for payment of tax liability arising as a result of the partial settlement of restricted stock unit awards that vested. /s/ Sheri Brumm, as attorney-in-fact for Deborah E. Hayward 2017-03-01