SEC Form 4 · accession 0001039399-17-000069
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael M Ludwig
Officer — SR VP, CFO
Period of report
Aug 19, 2017
Accepted (ET)
Aug 22, 2017 · 6:59 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 | Aug 19, 2017 | M | 9,333 | $0.00 | A | 262,847 | D | |
| Common Stock | Aug 19, 2017 | F | 4,870 | $14.05 | D | 257,977 | D | |
| Common Stock | Aug 21, 2017 | M | 10,000 | $10.30 | A | 267,977 | D | |
| Common StockF1 | Aug 21, 2017 | S | 10,000 | $13.961 | D | 257,977 | D | |
| Common Stock | Aug 22, 2017 | M | 20,000 | $10.30 | A | 277,977 | D | |
| Common StockF2 | Aug 22, 2017 | S | 20,000 | $14.335 | D | 257,977 | 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 UnitsF3,F4 | $0.00 | Aug 19, 2017 | M | 9,333 | D | — | — | Common Stock | 9,333 | 18,667 | D |
| Non-Qualified Stock Option (right to buy)F5 | $10.30 | Aug 21, 2017 | M | 10,000 | D | — | Nov 10, 2017 | Common Stock | 10,000 | 30,000 | D |
| Non-Qualified Stock Option (right to buy)F5 | $10.30 | Aug 22, 2017 | M | 20,000 | D | — | Nov 10, 2017 | Common Stock | 20,000 | 10,000 | D |
Explanation of responses
- F1Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.955 through $14.00. 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.
- F2Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $14.31 through $14.355. 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.
- F3The Restricted Stock Units vest in three annual installments on each August 19 of 2017, 2018, and 2019 and will be settled into shares of common stocks on or following the vesting dates.
- F4The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.
- F5The Stock Option was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vest over 3 years, with 33.33% vesting on Nov 10, 2011 and the remainder vesting in equal monthly installments over the following two years.