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