0001181431-13-007360.txt : 20130206
0001181431-13-007360.hdr.sgml : 20130206
20130206202352
ACCESSION NUMBER: 0001181431-13-007360
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130205
FILED AS OF DATE: 20130206
DATE AS OF CHANGE: 20130206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shaver Jon
CENTRAL INDEX KEY: 0001555693
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35628
FILM NUMBER: 13579792
MAIL ADDRESS:
STREET 1: C/O PERFORMANT FINANCIAL CORPORATION
STREET 2: 333 NORTH CANYONS PARKWAY
CITY: LIVERMORE
STATE: CA
ZIP: 94551
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Performant Financial Corp
CENTRAL INDEX KEY: 0001550695
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380]
IRS NUMBER: 200484934
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 333 North Cayons Parkway
CITY: Livermore
STATE: CA
ZIP: 94551
BUSINESS PHONE: 925-960-4800
MAIL ADDRESS:
STREET 1: 333 North Cayons Parkway
CITY: Livermore
STATE: CA
ZIP: 94551
4
1
rrd368949.xml
FORM 4
X0306
4
2013-02-05
0
0001550695
Performant Financial Corp
PFMT
0001555693
Shaver Jon
333 NORTH CANYONS PARKWAY
LIVERMORE
CA
94551
1
1
0
0
See Remarks
Common Stock
2013-02-05
4
M
0
244883
0.50
A
766218
D
Common Stock
2013-02-05
4
S
0
302231
10.1974
D
463987
D
Stock Option (right to buy)
0.50
2013-02-05
4
M
0
244883
0
D
2014-01-08
Common Stock
244883
130117
D
The option award is fully vested and immediately exercisable.
Chairman of the Board of Directors
/s/ Hakan L. Orvell, as Attorney-in-fact
2013-02-06