0000899243-16-023340.txt : 20160620 0000899243-16-023340.hdr.sgml : 20160620 20160620211550 ACCESSION NUMBER: 0000899243-16-023340 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160616 FILED AS OF DATE: 20160620 DATE AS OF CHANGE: 20160620 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performant Financial Corp CENTRAL INDEX KEY: 0001550695 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 200484934 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 333 North Cayons Parkway CITY: Livermore STATE: CA ZIP: 94551 BUSINESS PHONE: 925-960-4800 MAIL ADDRESS: STREET 1: 333 North Cayons Parkway CITY: Livermore STATE: CA ZIP: 94551 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fluegel Bradley M CENTRAL INDEX KEY: 0001415515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35628 FILM NUMBER: 161723217 MAIL ADDRESS: STREET 1: 120 MONUMENT CIRCLE CITY: INDIANAPOLIS STATE: IN ZIP: 46204 FORMER NAME: FORMER CONFORMED NAME: Bradley Fluegel M DATE OF NAME CHANGE: 20071017 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-16 0 0001550695 Performant Financial Corp PFMT 0001415515 Fluegel Bradley M 333 NORTH CANYONS PARKWAY LIVERMORE CA 94551 1 0 0 0 Common Stock 2016-06-16 4 A 0 46296 0.00 A 86334 D This award of restricted stock units will vest with respect to 100% of the shares subject to the award on the earlier of the Registrant's 2017 annual meeting of stockholders or a Change in Control (as defined in the Registrant's Amended and Restated 2012 Stock Incentive Plan). The restricted stock units may be settled only for shares of common stock on a one-for-one basis. /s/ Hakan Orvell, Attorney-in-Fact 2016-06-20