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0001039399-15-000005 Sample Contracts

Michael D. Slessor c/o FormFactor, Inc. Livermore, CA 94551, USA
Tax Withholding Agreement • March 6th, 2015 • Formfactor Inc • Semiconductors & related devices

This letter confirms our agreement around an income tax withholding issue related to your stock option income in connection with FormFactor’s acquisition of Astria Semiconductor Holdings / MicroProbe. Specifically, in light of an under withholding of $152,163 of California State Income Tax (“CA SIT”) for your stock option income in tax year 2012, FormFactor will compensate you for the incremental additional Federal income tax impact that you incur in the combined 2012 and 2013 tax years, should the 2013 Alternative Minimum Tax (“AMT”) or other federal tax rules limit the federal tax benefit of the $152,163 deduction associated with the 2012 CA SIT under withholding.