SEC Form 4 · accession 0001339595-17-000002
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas St Dennis
Director
Period of report
May 11, 2017
Accepted (ET)
May 15, 2017 · 8:29 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 11, 2017 | M | 13,962 | $7.52 | A | 198,895 | D | |
| Common StockF1 | May 11, 2017 | S | 13,962 | $13.5511 | D | 184,933 | 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 | $7.52 | May 11, 2017 | M | 13,962 | D | — | Sep 13, 2017 | Common Stock | 13,962 | 0 | D |
Explanation of responses
- F1Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $13.55 through $13.60. 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 option, which is immediately exercisable, vested with respect to 25% of the shares on September 13, 2011 and thereafter continued to vest over a three-year period in equal monthly installments