Specialized Disclosure Report (sd)
June 01 2020 - 4:09PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form SD
SPECIALIZED DISCLOSURE REPORT
Ultra Clean
Holdings, Inc.
(Exact Name of Registrant as Specified in Charter)
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DELAWARE
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000-50646
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61-1430858
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(State or Other Jurisdiction
of Incorporation)
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(Commission
File Number)
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(IRS Employer
Identification Number)
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26462 Corporate Avenue
Hayward, California
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94545
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(Address of Principal Executive Offices)
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(Zip Code)
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Registrants telephone number, including area code: (510)
576-4400
Check the appropriate box to
indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
☒ Rule 13p-1 under the Securities Exchange Act (17 CFR
240.13p-1) for the reporting period from January 1, 2019 to December 31, 2019.
Section 1 - Conflict Minerals Disclosure
ITEM 1.01
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CONFLICT MINERALS DISCLOSURE AND REPORT
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Conflict Minerals Disclosure
The
registrants Conflict Minerals Report for the year ended December 31, 2019 is provided as Exhibit 1.01 hereto and is publicly available at: www.uct.com under Corporate Governance. The content on any web site referred to in
this Form SD is not incorporated by reference into this Form SD unless expressly noted.
The registrants Conflict Minerals Report for the year ended December 31, 2019 is attached hereto as Exhibit 1.01.
Section 2 Exhibits
Exhibit 1.01 - Conflict Minerals Report as required by Items 1.01 and 1.02 of this Form.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly
authorized undersigned.
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ULTRA CLEAN HOLDINGS, INC.
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(Registrant)
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Date: June 1, 2020
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By:
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/s/ Sheri Savage
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Name: Sheri Savage
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Title: Chief Financial Officer, Senior Vice
President
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