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