0001550695-24-000050.txt : 20240515 0001550695-24-000050.hdr.sgml : 20240515 20240515194943 ACCESSION NUMBER: 0001550695-24-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240513 FILED AS OF DATE: 20240515 DATE AS OF CHANGE: 20240515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ramchandani Rohit CENTRAL INDEX KEY: 0001976990 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35628 FILM NUMBER: 24953231 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] ORGANIZATION NAME: 07 Trade & Services 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_1715816968.xml FORM 4 X0508 4 2024-05-13 0 0001550695 Performant Financial Corp PFMT 0001976990 Ramchandani Rohit 900 SOUTH PINE ISLAND ROAD SUITE 150 PLANTATION FL 33324 0 1 0 0 Chief Financial Officer 1 Common Stock, par value $0.0001 per share 2024-05-13 4 M 0 27092 0 A 196968 D Common Stock, par value $0.0001 per share 2024-05-13 4 F 0 10574 3.15 D 186394 D Restricted Stock Units 0 2024-05-13 4 M 0 27092 0 D Common Stock 27092 81270 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 5, 2023 (the "Grant Date"). The Restricted Stock Units will vest in four equal installments on the first day of the next open trading window immediately following the first, second, third and fourth anniversaries of the Grant Date provided that the Reporting Person remains in continuous service through each vest date, and vesting in full upon a Change in Control (as defined in PFMT's 2012 Stock Incentive Plan (the "Stock Plan"). /s/ Rohit Ramchandani 2024-05-15