0000950103-17-004828.txt : 20170523 0000950103-17-004828.hdr.sgml : 20170523 20170523161930 ACCESSION NUMBER: 0000950103-17-004828 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170520 FILED AS OF DATE: 20170523 DATE AS OF CHANGE: 20170523 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: ZELLNER MICHAEL W CENTRAL INDEX KEY: 0001181559 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50307 FILM NUMBER: 17863948 MAIL ADDRESS: STREET 1: C/O CYAN, INC. STREET 2: 1383 N. MCDOWELL BLVD., SUITE 300 CITY: PETALUMA STATE: CA ZIP: 94954 4 1 dp76394_4-zellner.xml FORM 4 X0306 4 2017-05-20 0 0001039399 FORMFACTOR INC FORM 0001181559 ZELLNER MICHAEL W 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 Common Stock 2017-05-20 4 M 0 9000 0 A 57000 D Restricted Stock Units 0 2017-05-20 4 M 0 9000 0 D Common Stock 9000 0 D Restricted Stock Units Vest and become exercisable in 12 equal monthly installments with the vesting dates beginning on June 20, 2016 and ending on May 20, 2017. Settlements of vested units into common stock will occur on the earlier of May 20, 2017 or the date the reporting person ceases to provide service to the Issuer. The restricted stock units released were settled in shares of common stock and were immediately cancelled upon settlement. By: /s/ Jason Cohen, Attorney-in-Fact For: Michael W Zellner 2017-05-23