0000950103-18-011874.txt : 20181010
0000950103-18-011874.hdr.sgml : 20181010
20181010162426
ACCESSION NUMBER: 0000950103-18-011874
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181005
FILED AS OF DATE: 20181010
DATE AS OF CHANGE: 20181010
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: 181116218
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
dp96796_4-henderson.xml
FORM 4
X0306
4
2018-10-05
1
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
2018-10-05
4
S
0
33976
D
13810
D
Represents unvested restricted stock units that were forfeited back to the Company upon the reporting person's termination as part of a larger severance arrangement that included the payment of $154,940 with respect to unvested units.
/s/ Marty Estkowski, as attorney-in-fact for Michael Roy Henderson
2018-10-10