0001550695-23-000053.txt : 20230911 0001550695-23-000053.hdr.sgml : 20230911 20230911192513 ACCESSION NUMBER: 0001550695-23-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230907 FILED AS OF DATE: 20230911 DATE AS OF CHANGE: 20230911 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: 231248760 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 wk-form4_1694474703.xml FORM 4 X0508 4 2023-09-07 0 0001550695 Performant Financial Corp PFMT 0001703807 Kohl Simeon 333 NORTH CANYONS PARKWAY LIVERMORE CA 94551 1 1 0 0 Chief Executive Officer 1 Common Stock, par value $0.0001 per share 2023-09-07 4 M 0 30458 0 A 285771 D Common Stock, par value $0.0001 per share 2023-09-07 4 F 0 7417 2.41 D 278354 D Common Stock, par value $0.0001 per share 2023-09-07 4 M 0 20250 0 A 298604 D Common Stock, par value $0.0001 per share 2023-09-07 4 F 0 4931 2.41 D 293673 D Common Stock, par value $0.0001 per share 2023-09-07 4 M 0 41539 0 A 335212 D Common Stock, par value $0.0001 per share 2023-09-07 4 F 0 10115 2.41 D 325097 D Restricted Stock Units 2023-09-07 4 M 0 30458 0 D Common Stock 30458 0 D Restricted Stock Units 2023-09-07 4 M 0 20250 0 D Common Stock 20250 40500 D Restricted Stock Units 2023-09-07 4 M 0 41539 0 D Common Stock 41539 124614 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 July 30, 2020. The restricted stock unit award vested at a rate of 1/3 annually on the first, second, and third anniversaries of July 30, 2020, provided that the Reporting Person remained in continuous service through each vest date. Restricted Stock Unit award was granted on August 13, 2021. The restricted stock unit award vests at a rate of 25% annually on the first, second, third, and fourth anniversaries of August 14, 2021, provided that the Reporting Person remains in continuous service through each vest date. Restricted Stock Unit award was granted on August 8, 2022. The restricted stock unit award vests at a rate of 25% annually on the first, second, third, and fourth anniversaries of August 15, 2022, provided that the Reporting Person remains in continuous service through each vest date. /s/ Ian A. Johnston, Attorney-in-Fact for Simeon M. Kohl 2023-09-11