SEC Form 4 · accession 0001039399-18-000016
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas St Dennis
Director
Period of report
Mar 6, 2018
Accepted (ET)
Mar 7, 2018 · 8:35 pm EST
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 | Mar 6, 2018 | M | 20,867 | $10.37 | A | 61,533 | D | |
| Common StockF1 | Mar 6, 2018 | S | 20,867 | $13.576 | D | 40,666 | 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 | $10.37 | Mar 6, 2018 | M | 20,867 | D | — | Apr 29, 2018 | Common Stock | 20,867 | 0 | D |
Explanation of responses
- F1Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.45 through $13.675. 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 was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vest over 4 years, with 25% vesting on April 29, 2012 and the remainder vesting in equal annual installments over the following three years.
Remarks
Represents the exercise and sale of non-qualified stock options due to expire on April 29, 2018.