0000950103-16-011345.txt : 20160224 0000950103-16-011345.hdr.sgml : 20160224 20160224182710 ACCESSION NUMBER: 0000950103-16-011345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160222 FILED AS OF DATE: 20160224 DATE AS OF CHANGE: 20160224 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Ultra Clean Holdings, Inc. CENTRAL INDEX KEY: 0001275014 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 611430858 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 BUSINESS PHONE: (510) 576-4400 MAIL ADDRESS: STREET 1: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 FORMER COMPANY: FORMER CONFORMED NAME: ULTRA CLEAN HOLDINGS INC DATE OF NAME CHANGE: 20031231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYWARD DEBORAH E CENTRAL INDEX KEY: 0001283713 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 161453360 MAIL ADDRESS: STREET 1: 150 INDEPENDENCE DR STREET 2: C/O ULTRA CLEAN CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER NAME: FORMER CONFORMED NAME: HAYWARD DEBORAH DATE OF NAME CHANGE: 20040315 4 1 dp63698_4-hayward.xml FORM 4 X0306 4 2016-02-22 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001283713 HAYWARD DEBORAH E ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVE HAYWARD CA 94545 0 1 0 0 SVP, Global Acct Mgmt Common Stock 2016-02-22 4 F 0 446 4.84 D 82666 D Common Stock 2016-02-22 4 F 0 1632 4.84 D 81034 D Represents shares withheld for payment of tax liability arising as a result of the partial settlement of a performance restricted stock unit award originally reported by the reporting person on the Form 4 filed with the Commission on February 18, 2014. Represents shares withheld for payment of tax liability arising as a result of the partial settlement of a restricted stock unit award originally reported by the reporting person on the Form 4 filed with the Commission on May 23, 2013. /s/ Marty Estkowski, as attorney-in-fact for Deborah E. Hayward 2016-02-24