0001550695-21-000072.txt : 20210903
0001550695-21-000072.hdr.sgml : 20210903
20210903191318
ACCESSION NUMBER: 0001550695-21-000072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210901
FILED AS OF DATE: 20210903
DATE AS OF CHANGE: 20210903
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaCamp James
CENTRAL INDEX KEY: 0001794194
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35628
FILM NUMBER: 211237879
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_163071078145941.xml
FORM 4
X0306
4
2021-09-01
0
0001550695
Performant Financial Corp
PFMT
0001794194
LaCamp James
333 NORTH CANYONS PARKWAY
LIVERMORE
CA
94551
1
0
0
0
Restricted Stock Units
2021-09-01
4
A
0
16741
0
A
Common Stock
16741.0
16741
D
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 Reporting Person.
Restricted Stock Unit Award was granted on September 1, 2021. The Restricted Stock Units will vest with respect to 100% of the shares subject to the award on the earlier of the Registrant's 2022 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/ Ian A. Johnston, as Attorney-in-Fact for James LaCamp
2021-09-03