0000950103-17-002019.txt : 20170301 0000950103-17-002019.hdr.sgml : 20170301 20170301192424 ACCESSION NUMBER: 0000950103-17-002019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170227 FILED AS OF DATE: 20170301 DATE AS OF CHANGE: 20170301 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: 1230 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: LEV LAVI CENTRAL INDEX KEY: 0001103963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 17656403 MAIL ADDRESS: STREET 1: C/O ULTRA CLEAN HOLDINGS INC. STREET 2: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 4 1 dp73547_4-lev.xml FORM 4 X0306 4 2017-02-27 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001103963 LEV LAVI ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVE HAYWARD CA 94545 0 1 0 0 SVP, Asia Common Stock 2017-02-27 4 F 0 382 14.57 D 108169 D Common Stock 2017-02-27 4 F 0 1911 14.57 D 106258 D Common Stock 2017-02-28 4 F 0 394 13.85 D 105864 D Common Stock 2017-02-28 4 F 0 1299 13.85 D 104565 D Common Stock 2017-02-28 4 F 0 1367 13.85 D 103198 D Represents shares withheld for payment of tax liability arising as a result of the partial settlement of restricted stock unit awards that vested. /s/ Sheri Brumm, as attorney-in-fact for Lavi Lev 2017-03-01