SEC Form 4 · accession 0001039399-16-000045
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelley Steven-Waiss
Director
Period of report
May 23, 2016
Accepted (ET)
May 23, 2016 · 4:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001039399
Table I — non-derivative securities
No Table I lines on this filing.
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 23, 2016 | A | 9,000 | A | — | — | Common Stock | 9,000 | 9,000 | 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 and the date the reporting person ceases to provide service to the Issuer, or thereafter, on the first market trading day in an open trading window under Issuer's insider trading policy if the applicable date is not a market trading day in an open trading window.
- F2If the reporting person ceases to provide services to the Issuer for any reason, all Restricted Stock Units that have not yet vested shall be forfeited without consideration except as provided in our Equity Grant Policy for Outside Directors and any other agreements between the reporting person and Issuer, regarding award vesting and exercisability.