SEC Form 4 · accession 0001039399-17-000031
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Edward Rogas Jr.
Director
Period of report
May 15, 2017
Accepted (ET)
May 17, 2017 · 8:04 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 15, 2017 | M | 6,000 | $8.91 | A | 56,000 | D | |
| Common StockF1 | May 15, 2017 | S | 6,000 | $13.9033 | D | 50,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F2 | $8.91 | May 15, 2017 | M | 6,000 | D | — | Oct 19, 2017 | Common Stock | 6,000 | 0 | D |
Explanation of responses
- F1Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.85 through $13.95. 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 Stock Option which was granted on October 19, 2010 was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vests in equal monthly installments over 3 years.