SEC Form 4 · accession 0001240679-15-000015
UFP TECHNOLOGIES INC · UFPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Bartlett Gould
Director
Period of report
May 6, 2015
Accepted (ET)
May 7, 2015 · 1:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000914156
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $.01 Par ValueF1 | May 6, 2015 | M | 4,500 | $10.14 | A | 51,506 | D | |
| Common Stock, $.01 Par ValueF1 | May 6, 2015 | M | 3,500 | $4.23 | A | 55,006 | D | |
| Common Stock, $.01 Par ValueF1 | May 6, 2015 | M | 3,500 | $9.25 | A | 58,506 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $10.14 | May 6, 2015 | M | 4,500 | D | Jul 1, 2008 | Jul 1, 2018 | Common Stock, $.01 Par Value | 4,500 | 0 | D |
| Stock Option (Right to Buy) | $4.23 | May 6, 2015 | M | 3,500 | D | Jul 1, 2009 | Jul 1, 2019 | Common Stock, $.01 Par Value | 3,500 | 0 | D |
| Stock Option (Right to Buy) | $9.25 | May 6, 2015 | M | 3,500 | D | Jul 1, 2010 | Jul 1, 2020 | Common Stock, $.01 Par Value | 3,500 | 0 | D |
Explanation of responses
- F1Additionally the reporting person owns 16,000 shares indirectly by his spouse.