0000950103-17-005096.txt : 20170530 0000950103-17-005096.hdr.sgml : 20170530 20170530182532 ACCESSION NUMBER: 0000950103-17-005096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170525 FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 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: Mezhvinsky Leonid CENTRAL INDEX KEY: 0001367203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 17878970 MAIL ADDRESS: STREET 1: C/O ULTRA CLEAN TECHNOLOGY STREET 2: 150 INDEPENDENCE DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 dp76618_4-mezhvinsky.xml FORM 4 X0306 4 2017-05-25 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001367203 Mezhvinsky Leonid ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVE HAYWARD CA 94545 1 0 0 0 Common Stock 2017-05-25 4 S 0 6800 23.2567 D 33500 D Common Stock 15000 I By Trust Revocable Trust of Leonid Mezhvinsky and Inna Mezhvinsky, dated April 26, 1988. /s/ Sheri Brumm, as attorney-in-fact for Leonid Mezhvinsky 2017-05-30