SEC Form 4 · accession 0001590177-16-000019
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mike Slessor
Officer — CEO · Director
Period of report
May 2, 2016
Accepted (ET)
May 3, 2016 · 7:20 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 2, 2016 | M | 84,800 | $0.00 | A | 282,533 | D | |
| Common StockF2,F3 | May 3, 2016 | S | 32,857 | $7.1383 | D | 249,676 | 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 UnitsF4 | $0.00 | May 2, 2016 | A | 30,000 | A | — | — | Restricted Stock Units | 30,000 | 30,000 | D |
| Performance SharesF1 | $0.00 | May 2, 2016 | M | 84,800 | D | — | — | Common Stock | 84,800 | 0 | D |
Explanation of responses
- F1Represents the amount of performance-based restricted stock units (granted in May 2014) that were determined to be earned based on TSR for the two-year performance period ended March 31, 2016, as previously reported on a Form 4. These units are fully vested, and the underlying shares were released on May 2, 2016.
- F2Represents vested shares of common stock sold to satisfy certain tax withholding obligations associated with the conversion of the restricted stock units.
- F3Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $7.138222 through $7.1437. 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.
- F4The Restricted Stock Units vest in three equal annual installments following the grant date. Vested shares will be delivered on the first day on or after vesting that occurs during an open trading window under the Issuer's insider trading policy.
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.