SEC Form 4 · accession 0001039399-17-000024
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas St Dennis
Director
Period of report
May 5, 2017
Accepted (ET)
May 9, 2017 · 7:00 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 5, 2017 | M | 20,000 | $0.00 | A | 184,933 | D | |
| Common Stock | May 9, 2017 | M | 62,088 | $7.52 | A | 247,021 | D | |
| Common StockF1 | May 9, 2017 | S | 62,088 | $13.7684 | D | 184,933 | 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 UnitsF2,F3 | $0.00 | May 5, 2017 | M | 20,000 | D | — | — | Common Stock | 20,000 | 0 | D |
| Non-Qualified Stock Option (right to buy)F4 | $7.52 | May 9, 2017 | M | 62,088 | D | — | Sep 13, 2017 | Common Stock | 62,088 | 13,962 | D |
Explanation of responses
- F1Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.75 through $13.80. Reporting person undertakes to provide upon request by the SEC staff or a security holder of the Issuer, full information regarding the number of shares sold at each separate price.
- F2The Restricted Stock Units vest and are exercisable in three annual installments on each May 5 of 2015, 2016, and 2017 (or the first market trading day during an open trading window under the Issuer's insider trading policy thereafter if the applicable vesting date is not on a market trading day during an open trading window).
- F3The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.
- F4The option, which is immediately exercisable, vested with respect to 25% of the shares on September 13, 2011 and thereafter continued to vest over a three-year period in equal monthly installments