0001550695-21-000019.txt : 20210503
0001550695-21-000019.hdr.sgml : 20210503
20210503204045
ACCESSION NUMBER: 0001550695-21-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210429
FILED AS OF DATE: 20210503
DATE AS OF CHANGE: 20210503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kohl Simeon
CENTRAL INDEX KEY: 0001703807
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35628
FILM NUMBER: 21885486
MAIL ADDRESS:
STREET 1: 333 NORTH CANYONS PARKWAY
CITY: LIVERMORE
STATE: CA
ZIP: 94551
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 CANYONS PARKWAY
CITY: Livermore
STATE: CA
ZIP: 94551
BUSINESS PHONE: 925-960-4800
MAIL ADDRESS:
STREET 1: 333 NORTH CANYONS PARKWAY
CITY: Livermore
STATE: CA
ZIP: 94551
4
1
wf-form4_162008882792386.xml
FORM 4
X0306
4
2021-04-29
0
0001550695
Performant Financial Corp
PFMT
0001703807
Kohl Simeon
333 NORTH CANYONS PARKWAY
LIVERMORE
CA
94551
0
1
0
0
Vice President of Healthcare
Common Stock, par value $0.0001 per share
2021-04-29
4
M
0
11250
0
A
112161
D
Common Stock, par value $0.0001 per share
2021-04-29
4
F
0
2639
2.24
D
109522
D
Restricted Stock Units
2021-04-29
4
M
0
11250
0
D
Common Stock
11250.0
22500
D
Shares surrendered to pay tax liability due on vesting of Restricted Stock Units
Each restricted stock unit represents a contingent right to receive one share of PFMT's common stock. The units were awarded at no cost to the Reporting Person.
Restricted Stock Unit award was granted on May 2, 2019. 25% of the shares vested on April 29, 2020, 25% of the shares vested on April 29, 2021, with 25% more vesting on the third and fourth anniversaries of April 29, 2019, provided that the Reporting Person remains in continuous service through each vest date.
/s/ Ian A. Johnston, Attorney-in-Fact for Simeon M. Kohl
2021-05-03