SEC Form 4 · accession 0001256951-15-000040
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard DeLateur
Director
Period of report
May 18, 2015
Accepted (ET)
May 19, 2015 · 4:53 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 | May 18, 2015 | M | 10,000 | $0.00 | A | 38,000 | 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 UnitsF2,F3 | $0.00 | May 18, 2015 | M | 10,000 | D | — | — | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Represents vested shares of common stock issued pursuant to the conversion of 100% of the restricted stock units granted on May 16, 2014.
- F2Restricted Stock Units vested and became exercisable in 12 equal monthly installments with the vesting dates beginning on June 16, 2014 and ending on May 16, 2015. Settlement of vested Units into common stock occurred on May 18, 2015.
- F3The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.
Remarks
THE ATTACHED CONFIRMING STATEMENT GRANTING THE ATTORNEY-IN-FACT THE AUTHORITY TO EXECUTE AND FILE THIS FORM 4 HAS BEEN FILED WITH THE U.S. SECURITIES AND EXCHANGE COMMISSION.