0001550695-24-000006.txt : 20240122
0001550695-24-000006.hdr.sgml : 20240122
20240122195604
ACCESSION NUMBER: 0001550695-24-000006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240119
FILED AS OF DATE: 20240122
DATE AS OF CHANGE: 20240122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HANSEN WILLIAM DEAN
CENTRAL INDEX KEY: 0001265886
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35628
FILM NUMBER: 24550230
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Performant Financial Corp
CENTRAL INDEX KEY: 0001550695
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 200484934
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 333 NORTH CANYONS PARKWAY
CITY: Livermore
STATE: CA
ZIP: 94551
BUSINESS PHONE: 925-960-4800
MAIL ADDRESS:
STREET 1: 333 NORTH CANYONS PARKWAY
CITY: Livermore
STATE: CA
ZIP: 94551
4
1
wk-form4_1705971354.xml
FORM 4
X0508
4
2024-01-19
0
0001550695
Performant Financial Corp
PFMT
0001265886
HANSEN WILLIAM DEAN
900 SOUTH PINE ISLAND ROAD, SUITE 150
PLANTATION
FL
33324
1
0
0
0
0
Restricted Stock Units
2024-01-19
4
A
0
27675
0
A
Common Stock
27675
27675
D
Each restricted stock unit represents a contingent right to receive one share of PFMT's common stock. The units were awarded at no cost to Reporting Person.
Restricted Stock Unit Award was granted on January 19, 2024. The Restricted Stock Units will vest with respect to 100% of the shares subject to the award on the earlier of the Registrant's 2024 annual meeting of stockholders or a Change in Control (as defined in the Registrant's Amended and Restated 2012 Stock Incentive Plan). The restricted stock units may be settled only for shares of common stock on a one-for-one basis.
/s/ Ian A. Johnston, Attorney-in-Fact for William D. Hansen
2024-01-22