0001039399-19-000094.txt : 20191212 0001039399-19-000094.hdr.sgml : 20191212 20191212172258 ACCESSION NUMBER: 0001039399-19-000094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191206 FILED AS OF DATE: 20191212 DATE AS OF CHANGE: 20191212 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: 191282666 MAIL ADDRESS: STREET 1: C/O CYAN, INC. STREET 2: 1383 N. MCDOWELL BLVD., SUITE 300 CITY: PETALUMA STATE: CA ZIP: 94954 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: 1228 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 4 1 wf-form4_157618936050784.xml FORM 4 X0306 4 2019-12-06 0 0001039399 FORMFACTOR INC FORM 0001181559 ZELLNER MICHAEL W 7005 SOUTHFRONT ROAD LIVERMORE CA 94551 1 0 0 0 Common Stock 2019-12-06 4 M 0 9000 0 A 41875 D Restricted Stock Units 0.0 2019-12-06 4 M 0 9000 0 D Common Stock 9000.0 9000 D Represents the acceleration of the unvested portion of the annual director RSU grant of May 17, 2019 in connection with the reporting person's resignation from the Company's board of directors. Not Applicable By: /s/ Jason Cohen, Attorney-in-Fact For: Michael W Zellner 2019-12-12