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