SEC Form 4 · accession 0001590177-16-000021
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 5, 2016
Accepted (ET)
May 9, 2016 · 7:08 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 5, 2016 | M | 18,333 | $0.00 | A | 268,009 | D | |
| Common StockF1 | May 6, 2016 | S | 7,007 | $6.84 | D | 261,002 | D | |
| Common Stock | May 6, 2016 | M | 15,000 | $0.00 | A | 276,002 | D | |
| Common StockF1 | May 9, 2016 | S | 5,690 | $6.80 | D | 270,312 | 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 5, 2016 | M | 18,333 | D | — | — | Common Stock | 18,333 | 18,334 | D |
| Restricted Stock UnitsF4,F3 | $0.00 | May 6, 2016 | M | 15,000 | D | — | — | Common Stock | 15,000 | 0 | D |
Explanation of responses
- F1Represents vested shares of common stock sold to satisfy certain tax withholding obligations associated with the conversion of the restricted stock units.
- F2The Restricted Stock Units vest and are exercisable in three annual installments on each May 5 of 2015, 2016, and 2017 (or the first market trading day 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).
- F3The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement.
- F4The Restricted Stock Units vest and are exercisable in three annual installments on each May 6 of 2014, 2015, and 2016 (or the first market trading day 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).
Remarks
THE CONFIRMING STATEMENT GRANTING THE ATTORNEY-IN-FACT THE AUTHORITY TO EXECUTE AND FILE THIS FORM 4 HAS BEEN PREVIOUSLY FILED WITH THE U.S.SECURITIES AND EXCHANGE COMMISSION.