SEC Form 4 · accession 0001240679-16-000048
UFP TECHNOLOGIES INC · UFPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marc D Kozin
Director
Period of report
May 5, 2016
Accepted (ET)
May 9, 2016 · 3:00 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 Value | May 5, 2016 | M | 4,500 | $6.01 | A | 10,390 | D | |
| Common Stock, $.01 Par Value | May 5, 2016 | M | 4,390 | $5.06 | A | 14,780 | D | |
| Common Stock, $.01 Par Value | May 5, 2016 | M | 4,500 | $5.19 | A | 19,280 | 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) | $6.01 | May 5, 2016 | M | 4,500 | D | Jul 3, 2006 | Jul 3, 2016 | Common Stock, $.01 Par Value | 4,500 | 0 | D |
| Stock Option (Right to Buy) | $5.06 | May 5, 2016 | M | 4,390 | D | Jun 6, 2007 | Jun 6, 2017 | Common Stock, $.01 Par Value | 4,390 | 0 | D |
| Stock Option (Right to Buy) | $5.19 | May 5, 2016 | M | 4,500 | D | Jul 2, 2007 | Jul 2, 2017 | Common Stock, $.01 Par Value | 4,500 | 0 | D |