0001550695-23-000037.txt : 20230518 0001550695-23-000037.hdr.sgml : 20230518 20230518214923 ACCESSION NUMBER: 0001550695-23-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230516 FILED AS OF DATE: 20230518 DATE AS OF CHANGE: 20230518 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kohl Simeon CENTRAL INDEX KEY: 0001703807 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35628 FILM NUMBER: 23937822 MAIL ADDRESS: STREET 1: 333 NORTH CANYONS PARKWAY CITY: LIVERMORE STATE: CA ZIP: 94551 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 CANYONS PARKWAY CITY: Livermore STATE: CA ZIP: 94551 BUSINESS PHONE: 925-960-4800 MAIL ADDRESS: STREET 1: 333 NORTH CANYONS PARKWAY CITY: Livermore STATE: CA ZIP: 94551 4 1 wk-form4_1684460947.xml FORM 4 X0407 4 2023-05-16 0 0001550695 Performant Financial Corp PFMT 0001703807 Kohl Simeon 333 NORTH CANYONS PARKWAY LIVERMORE CA 94551 1 1 0 0 Chief Executive Officer 1 Common Stock, par value $0.0001 per share 2023-05-16 4 M 0 11250 0 A 239697 D Common Stock, par value $0.0001 per share 2023-05-16 4 F 0 3336 2.51 D 236361 D Common Stock, par value $0.0001 per share 2023-05-16 4 M 0 25000 0 A 261361 D Common Stock, par value $0.0001 per share 2023-05-16 4 F 0 6048 2.51 D 255313 D Restricted Stock Units 2023-05-16 4 M 0 11250 0 D Common Stock 11250 0 D Restricted Stock Units 2023-05-16 4 M 0 25000 0 D Common Stock 25000 75000 D Shares surrendered to pay tax liability due on vesting of Restricted Stock Units Each restricted stock unit represents a contingent right to receive one share of PFMT's common stock. The units were awarded at no cost to the Reporting Person. Restricted Stock Unit award was granted on May 2, 2019. The restricted stock unit award vested at a rate of 25% annually on the first and second anniversaries of April 29, 2019, with the third 25% of the shares vesting on May 13, 2022, and the final 25% vesting on May 16, 2023 Restricted Stock Unit award was granted on March 10, 2022. The restricted stock unit award vests at a rate of 25% annually on the first day of the next open trading window immediately following the first, second, third, and fourth anniversaries of March 10, 2022, provided that the Reporting Person remains in continuous service through each vest date. /s/ Ian A. Johnston, Attorney-in-Fact for Simeon M. Kohl 2023-05-18