0001039399-17-000003.txt : 20170215 0001039399-17-000003.hdr.sgml : 20170215 20170215175327 ACCESSION NUMBER: 0001039399-17-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170213 FILED AS OF DATE: 20170215 DATE AS OF CHANGE: 20170215 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORMFACTOR INC CENTRAL INDEX KEY: 0001039399 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 133711155 STATE OF INCORPORATION: DE FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 BUSINESS PHONE: 9252433522 MAIL ADDRESS: STREET 1: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: St Dennis Thomas CENTRAL INDEX KEY: 0001339595 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 17615796 MAIL ADDRESS: STREET 1: C/O FORMFACTOR, INC. STREET 2: 7005 SOUTHFRONT ROAD CITY: LIVERMORE STATE: CA ZIP: 94551 4 1 wf-form4_148719919407596.xml FORM 4 X0306 4 2017-02-13 0 0001039399 FORMFACTOR INC FORM 0001339595 St Dennis Thomas 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 Common Stock 2017-02-13 4 M 0 18404 7.52 A 183337 D Common Stock 2017-02-13 4 S 0 18404 12.1522 D 164933 D Common Stock 2017-02-14 4 M 0 80397 7.52 A 245330 D Common Stock 2017-02-14 4 S 0 80397 12.0057 D 164933 D Common Stock 2017-02-15 4 M 0 58170 7.52 A 223103 D Common Stock 2017-02-15 4 S 0 58170 12.1313 D 164933 D Non-Qualified Stock Option (right to buy) 7.52 2017-02-13 4 M 0 18404 7.52 D 2017-09-13 Common Stock 18404.0 431596 D Non-Qualified Stock Option (right to buy) 7.52 2017-02-14 4 M 0 80397 7.52 D 2017-09-13 Common Stock 80397.0 351199 D Non-Qualified Stock Option (right to buy) 7.52 2017-02-15 4 M 0 58170 7.52 D 2017-09-13 Common Stock 58170.0 293029 D Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $12.15 through $12.175. 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. Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $12.00 through $12.05. 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. Price represents the weighted average sale price for the transaction reported. Price range of shares sold is $12.05 through $12.20. 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. The Stock Option was granted pursuant to the Issuer's 2002 Equity Incentive Plan and vest over 4 years, with 25% vesting on September 13, 2011 and the remainder vesting in equal monthly installments over the following three years. By: /s/ Jason Cohen, Attorney-in-Fact For: Thomas St. Dennis 2017-02-15