0000899243-17-016793.txt : 20170620 0000899243-17-016793.hdr.sgml : 20170620 20170620195022 ACCESSION NUMBER: 0000899243-17-016793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170618 FILED AS OF DATE: 20170620 DATE AS OF CHANGE: 20170620 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Performant Financial Corp CENTRAL INDEX KEY: 0001550695 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 200484934 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 333 North Cayons Parkway CITY: Livermore STATE: CA ZIP: 94551 BUSINESS PHONE: 925-960-4800 MAIL ADDRESS: STREET 1: 333 North Cayons Parkway CITY: Livermore STATE: CA ZIP: 94551 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnston Ian CENTRAL INDEX KEY: 0001703802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35628 FILM NUMBER: 17921831 MAIL ADDRESS: STREET 1: 333 NORTH CANYONS PARKWAY CITY: LIVERMORE STATE: CA ZIP: 94551 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-06-18 0 0001550695 Performant Financial Corp PFMT 0001703802 Johnston Ian 333 NORTH CANYONS PARKWAY LIVERMORE CA 94551 0 1 0 0 See Remarks Common Stock, par value $0.0001 per share 2017-06-18 4 M 0 15000 0.00 A 39121 D Common Stock, par value $0.0001 per share 2017-06-18 4 F 0 5502 2.52 D 33619 D Non-Qualified Stock Options Common Stock 54979 54979 D Restricted Stock Units Common Stock 6250 6250 D Performance Stock Units Common Stock 5750 5750 D Restricted Stock Units 2017-06-18 4 M 0 15000 0.00 D Common Stock 30000 30000 D Restricted Stock Units Common Stock 33750 33750 D Restricted Stock Units Common Stock 60000 60000 D Shares surrendered to pay tax liability due on vesting of Restricted Stock Units. The exercise price of each non-qualified stock option is $10.60. Each restricted stock unit and performance stock unit represents a contingent right to receive one share of PFMT's common stock. The units were awarded at no cost to Reporting Person. The Stock Option award was granted on 08/10/2012 and expires on 08/10/2022. The option award vests as to 1/5th of the total number of shares subject to the option 12 months after the vesting commencement date, and the remaining shares vest at a rate of 1/60th of the total number of shares subject to the option each month thereafter provided that the Reporting Person remains in continuous service through each vest date. Restricted Stock Unit award was granted on 08/13/2014 and expires on 08/13/2024. The restricted stock unit award vests at a rate of 25% annually on the first, second, third and fourth anniversaries of the grant date, provided that the Reporting Person remains in continuous service through each vest date. Performance Stock Unit award was granted on 03/17/2015 and expires on 03/17/2025. The performance stock award vested as to 50% of the covered shares on 03/17/2016 and as to 25% of the covered shares on 03/17/2017 and will vest as to 25% of the covered shares on 03/17/2018. Restricted Stock Unit award was granted on 06/18/2015 and expires on 06/18/2025. 25% of the shares vested on 06/18/2016 and 25% of the shares vested on 06/18/2017, with 25% more vesting on each of the third and fourth anniversaries of the grant date, provided that the Reporting Person remains in continuous service through each vest date. Restricted Stock Unit award was granted on 02/22/2016 and expires on 02/22/2026. The restricted stock unit award vests at a rate of 25% annually on the first, second, third and fourth anniversaries of the grant date, provided that the Reporting Person remains in continuous service through each vest date. Restricted Stock Unit award was granted on 04/06/2017 and expires on 04/06/2027. The restricted stock unit award vests at a rate of 25% annually on the first, second, third and fourth anniversaries of the grant date, provided that the Reporting Person remains in continuous service through each vest date. Vice President and Chief Accounting Officer /s/ Hakan Orvell, Attorney-in-Fact for Ian Johnston 2017-06-20