SEC Form 4 · accession 0000950103-17-004827
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelley Steven-Waiss
Director
Period of report
May 20, 2017
Accepted (ET)
May 23, 2017 · 4:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001039399
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 20, 2017 | M | 9,000 | $0.00 | A | 9,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F2 | $0.00 | May 20, 2017 | M | 9,000 | D | — | — | Common Stock | 9,000 | 0 | D |
Explanation of responses
- F1Restricted Stock Units Vest and become exercisable in 12 equal monthly installments with the vesting dates beginning on June 20, 2016 and ending on May 20, 2017. Settlements of vested units into common stock will occur on the earlier of May 20, 2017 or the date the reporting person ceases to provide service to the Issuer.
- F2The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.