0001550695-21-000080.txt : 20211117 0001550695-21-000080.hdr.sgml : 20211117 20211117205904 ACCESSION NUMBER: 0001550695-21-000080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211116 FILED AS OF DATE: 20211117 DATE AS OF CHANGE: 20211117 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: 211422372 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_163720072732981.xml FORM 4 X0306 4 2021-11-16 0 0001550695 Performant Financial Corp PFMT 0001703807 Kohl Simeon 333 NORTH CANYONS PARKWAY LIVERMORE CA 94551 0 1 0 0 See Remarks Common Stock, par value $0.0001 per share 2021-11-16 4 M 0 30461 0 A 165041 D Common Stock, par value $0.0001 per share 2021-11-17 4 F 0 7472 2.88 D 157569 D Restricted Stock Units 2021-11-16 4 M 0 30461 0 D Common Stock 30461.0 60916 D These shares of common stock were sold to satisfy the Reporting Person's tax withholding obligations in connection with the vesting of Restricted Stock Units. These shares of common stock were sold pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person on June 7, 2021. 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 The Restricted Stock Unit award was granted on July 30, 2020. One-third of the shares vested on November 16, 2021, with the remaining Restricted Stock Unit Award vesting as to one-third on the first day of the next open trading window immediately following each of the second and third anniversaries of the grant date, provided that the Reporting Person remains in continuous service through each vesting date. Senior Vice President and General Manager of Health Care /s/ Ian A. Johnston, Attorney-in-Fact for Simeon M. Kohl 2021-11-17