SEC Form 4 · accession 0001240679-15-000022
UFP TECHNOLOGIES INC · UFPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Jeffrey Bailly
Officer — President and CEO · Director
Period of report
Aug 18, 2015
Accepted (ET)
Aug 19, 2015 · 3:36 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 Value | Aug 18, 2015 | M | 15,000 | $2.39 | A | 634,996 | D | |
| Common Stock, $.01 Par ValueF1 | Aug 18, 2015 | F | 1,632 | $21.97 | D | 633,364 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option | $2.39 | Aug 18, 2015 | M | 15,000 | D | Dec 14, 2005 | Dec 14, 2015 | Common Stock, $.01 Par Value | 15,000 | 0 | D |
Explanation of responses
- F1Represents the payment of the exercise price of an Employee Stock Option through the attestation of previously owned shares.