SEC Form 4 · accession 0001039399-18-000074
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelley Steven-Waiss
Director
Period of report
Aug 5, 2018
Accepted (ET)
Aug 7, 2018 · 5:48 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 StockF1 | Aug 5, 2018 | M | 9,000 | $0.00 | A | 19,000 | 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,F2 | $0.00 | Aug 5, 2018 | M | 9,000 | D | — | — | Common Stock | 9,000 | 0 | D |
Explanation of responses
- F1The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.
- F2Restricted Stock Units Vest and become exercisable in 36 equal monthly installments with the vesting dates beginning on September 5, 2015 and ending on August 5, 2018. Settlements of vested units into common stock will occur on the earlier of August 5, 2018 or the date the reporting person ceases to provide service to the Issuer, and thereafter on the first market trading day if the applicable date is not a market trading day.
- F3Price Not Applicable.