SEC Form 4 · accession 0001590177-15-000013
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mike Slessor
Officer — CEO · Director
Period of report
Apr 8, 2015
Accepted (ET)
May 7, 2015 · 9:19 am 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 4, 2015 | M | 75,000 | $0.00 | A | 198,126 | D | |
| Common StockF2 | May 5, 2015 | S | 28,560 | $8.4278 | D | 169,566 | D | |
| Common StockF2 | May 5, 2015 | S | 605 | $8.193 | D | 168,961 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance SharesF3,F4 | $0.00 | Apr 8, 2015 | A | 75,000 | A | — | — | Common Stock | 75,000 | 125,000 | D |
| Performance SharesF3,F4 | $0.00 | May 4, 2015 | M | 75,000 | D | — | — | Common Stock | 75,000 | 50,000 | D |
Explanation of responses
- F1Represents vested shares of common stock issued pursuant to the conversion of the total units certified and earned April 8, 2015 in connection with a May 6, 2013 performance-based restricted stock unit award.
- F2Represents vested shares of common stock sold to satisfy certain tax withholding obligations associated with the conversion of the restricted stock units.
- F3Represents the vesting of 100% of the performance-based restricted stock units certified and earned April 8, 2015 in connection with a May 6, 2013 performance-based RSU award. All stock will be released to the reporting person on the vesting date or the first market trading day after the vesting date, during an open trading window under the Issuer's Insider Trading Policy thereafter, if the applicable vesting date is not on a market trading day during an open trading window.
- F4The 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.