0001179110-16-031584.txt : 20161115 0001179110-16-031584.hdr.sgml : 20161115 20161115143425 ACCESSION NUMBER: 0001179110-16-031584 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161103 FILED AS OF DATE: 20161115 DATE AS OF CHANGE: 20161115 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Willdan Group, Inc. CENTRAL INDEX KEY: 0001370450 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ENGINEERING SERVICES [8711] IRS NUMBER: 141951112 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2401 EAST KATELLA AVENUE, SUITE 300 CITY: ANAHEIM STATE: CA ZIP: 92806 BUSINESS PHONE: 800-424-9144 MAIL ADDRESS: STREET 1: 2401 EAST KATELLA AVENUE, SUITE 300 CITY: ANAHEIM STATE: CA ZIP: 92806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brisbin Thomas Donald CENTRAL INDEX KEY: 0001395188 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-33076 FILM NUMBER: 161999223 MAIL ADDRESS: STREET 1: 2401 E. KATELLA AVENUE, #300 CITY: ANAHEIM STATE: CA ZIP: 92806 4/A 1 edgar.xml FORM 4/A - X0306 4/A 2016-11-03 2016-11-04 0 0001370450 Willdan Group, Inc. WLDN 0001395188 Brisbin Thomas Donald 2401 EAST KATELLA AVENUE SUITE 300 ANAHEIM CA 92806 1 1 0 1 Chief Executive Officer Chairman of the Board Stock Option (Right to Buy) 16.27 2016-11-03 4 A 0 100000 0 A 2026-11-03 Common Stock 100000 100000 D The option becomes exercisable in three equal installments on each of November 3, 2017, November 3, 2018 and November 3, 2019. This second amendment to the original Form 4 is filed to accurately report the vest dates of the derivative security. The first amendment to the original Form 4 was filed on November 15, 2016 to accurately report the conversion price of the derivative security, transaction date and expiration date in the transaction. /s/ Stacy McLaughlin Attorney-in-Fact for Thomas D. Brisbin 2016-11-15