0000950103-17-005207.txt : 20170531
0000950103-17-005207.hdr.sgml : 20170531
20170531165736
ACCESSION NUMBER: 0000950103-17-005207
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170527
FILED AS OF DATE: 20170531
DATE AS OF CHANGE: 20170531
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: Henderson Michael Roy
CENTRAL INDEX KEY: 0001674618
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50646
FILM NUMBER: 17881788
MAIL ADDRESS:
STREET 1: C/O ULTRA CLEAN HOLDINGS, INC.
STREET 2: 26462 CORPORATE AVENUE
CITY: HAYWARD
STATE: CA
ZIP: 94545
4
1
dp76705_4-henderson.xml
FORM 4
X0306
4
2017-05-27
0
0001275014
Ultra Clean Holdings, Inc.
UCTT
0001674618
Henderson Michael Roy
ULTRA CLEAN HOLDINGS, INC.
26462 CORPORATE AVE
HAYWARD
CA
94545
0
1
0
0
SVP, Engineering
Common Stock
2017-05-27
4
F
0
6241
24.11
D
53697
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/ Sheri Brumm, as attorney-in-fact for Michael Roy Henderson
2017-05-31