0001179110-21-005992.txt : 20210526 0001179110-21-005992.hdr.sgml : 20210526 20210526201234 ACCESSION NUMBER: 0001179110-21-005992 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210525 FILED AS OF DATE: 20210526 DATE AS OF CHANGE: 20210526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brisbin Thomas Donald CENTRAL INDEX KEY: 0001395188 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33076 FILM NUMBER: 21968081 MAIL ADDRESS: STREET 1: 2401 E. KATELLA AVENUE, #300 CITY: ANAHEIM STATE: CA ZIP: 92806 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Willdan Group, Inc. CENTRAL INDEX KEY: 0001370450 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ENGINEERING SERVICES [8711] IRS NUMBER: 141951112 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2401 EAST KATELLA AVENUE, SUITE 300 CITY: ANAHEIM STATE: CA ZIP: 92806 BUSINESS PHONE: 800-424-9144 MAIL ADDRESS: STREET 1: 2401 EAST KATELLA AVENUE, SUITE 300 CITY: ANAHEIM STATE: CA ZIP: 92806 4 1 edgar.xml FORM 4 - X0306 4 2021-05-25 0 0001370450 Willdan Group, Inc. WLDN 0001395188 Brisbin Thomas Donald 2401 EAST KATELLA AVENUE SUITE 300 ANAHEIM CA 92806 1 1 0 1 Chief Executive Officer Chairman of the Board Common Stock 2021-05-25 4 M 0 22249 4.01 A 351001 D Common Stock 2021-05-25 4 S 0 12461 36.31 D 338540 D Stock Options (Right to Buy) 4.01 2021-05-25 4 M 0 22249 0 A 2021-06-06 Common Stock 22249 2049 D Includes 25,000 shares of restricted stock that vest in four equal installments on each of March 9, 2022, March 9, 2023, March 9, 2024 and March 9, 2025, subject to the Reporting Person's continued service to the Issuer through the applicable vesting date. The price reported in Column 4 is the weighted average price. These shares were sold in multiple transactions at prices ranging from $36.00 to $36.92, inclusive. The reporting person undertakes to provide to Willdan Group, Inc., any security holder of Willdan Group, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. Stock options granted under the Willdan Group, Inc. Amended and Restated 2008 Performance Incentive Plan, which vested in three equal installments on each of June 6, 2012, June 6, 2013 and June 6, 2014. Exhibit List: Exhibit 24 - Power of Attorney /s/ Creighton K. Early Attorney-in-Fact for Thomas D. Brisbin 2021-05-26 EX-24 2 ex24brisbin.htm EXHIBIT 24

POWER OF ATTORNEY

FOR SEC FILINGS ON FORMS ID, 3, 4, 5 AND 144

The undersigned hereby constitutes and appoints each of Creighton K. Early, Vice President and Chief Financial Officer of Willdan Group, Inc. (the “Company”), so long as he is employed at the Company, Micah Chen, Vice President, General Counsel of the Company, so long as he is employed at the Company, and Regina Braman, of O’Melveny & Myers LLP (“OMM”), outside counsel to the Company, so long as she is employed at OMM, as his true and lawful attorney-in-fact and agent (each, an “Attorney-In-Fact”), with full power of substitution and resubstitution for him and in his name and stead in any and all capacities, to sign and file for and on his behalf, in respect of any acquisition, disposition or other change in ownership of any of the securities of the undersigned, the following:

(i)

any Form ID to be filed with the Securities and Exchange Commission (the “SEC”);

(ii)

any Initial Statement of Beneficial Ownership of Securities on Form 3 to be filed with the SEC;

(iii)

any Statement of Changes of Beneficial Ownership of Securities on Form 4 to be filed with the SEC;

(iv)

any Annual Statement of Beneficial Ownership of Securities on Form 5 to be filed with the SEC;

(v)

any Notice of Proposed Sale of Securities on Form 144 to be filed with the SEC; and

(vi)

any and all agreements, certificates, receipts, or other documents in connection therewith.

The undersigned hereby gives full power and authority to each Attorney-In-Fact to seek and obtain as his representative and on his behalf, information on transactions in the securities of the undersigned from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such third party to release such information to each Attorney-In-Fact and approves and ratifies any such release of information.

The undersigned hereby grants unto each Attorney-In-Fact full power and authority to do and perform each and every act and thing requisite and necessary in connection with such matters and hereby ratifies and confirms all that any such Attorney-In-Fact or substitute may do or cause to be done by virtue hereof.

The undersigned acknowledges that:

(i)

neither the Company nor any Attorney-In-Fact assumes (i) any liability for the undersigned’s responsibility to comply with the requirement of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), (ii) any liability of the

undersigned for any failure to comply with such requirements or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and

(ii)

this Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigned’s obligations under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act.

This Power of Attorney shall remain in full force and effect with respect to the undersigned until revoked by the undersigned in a signed writing delivered to each Attorney-In-Fact.

[Remainder of Page Intentionally Left Blank.]

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 24th day of May 2021.

	/s/ Thomas D. Brisbin
	THOMAS D. BRISBIN