0000950103-18-002102.txt : 20180215 0000950103-18-002102.hdr.sgml : 20180215 20180215161814 ACCESSION NUMBER: 0000950103-18-002102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180213 FILED AS OF DATE: 20180215 DATE AS OF CHANGE: 20180215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Savage Sheri CENTRAL INDEX KEY: 0001667557 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50646 FILM NUMBER: 18617935 MAIL ADDRESS: STREET 1: C/O ULTRA CLEAN HOLDINGS, INC. STREET 2: 26462 CORPORATE AVENUE CITY: HAYWARD STATE: CA ZIP: 94545 FORMER NAME: FORMER CONFORMED NAME: Brumm Sheri DATE OF NAME CHANGE: 20160219 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 4 1 dp86814_4-savage.xml FORM 4 X0306 4 2018-02-13 0 0001275014 Ultra Clean Holdings, Inc. UCTT 0001667557 Savage Sheri ULTRA CLEAN HOLDINGS, INC. 26462 CORPORATE AVENUE HAYWARD CA 94545 0 1 0 0 CFO, SVP Finance and Secretary Common Stock 2018-02-13 4 A 0 19875 0.0000 A 188849 D Share amounts represent performance restricted stock units. The final award amount was determined based on performance factors achieved for fiscal 2017. The performance restricted stock units vest in three equal annual installments on each anniversary of the vesting commencement date, April 28, 2017. /s/ Sheri Savage 2018-02-15