SEC Form 4 · accession 0001240679-16-000062
UFP TECHNOLOGIES INC · UFPT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David K Stevenson
Director
Period of report
Nov 9, 2016
Accepted (ET)
Nov 14, 2016 · 10:41 am EST
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 | Nov 9, 2016 | M | 2,423 | $12.37 | A | 16,525 | D | |
| Common Stock, $.01 Par Value | Nov 9, 2016 | M | 2,058 | $16.17 | A | 18,583 | D | |
| Common Stock, $.01 Par Value | Nov 9, 2016 | M | 1,295 | $16.32 | A | 19,878 | D | |
| Common Stock, $.01 Par Value | Nov 9, 2016 | M | 1,227 | $19.08 | A | 21,105 | D | |
| Common Stock, $.01 Par Value | Nov 9, 2016 | M | 2,921 | $19.97 | A | 24,026 | D | |
| Common Stock, $.01 Par Value | Nov 9, 2016 | F | 6,514 | $25.50 | D | 17,512 | 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) | $12.37 | Nov 9, 2016 | M | 2,423 | D | Jun 4, 2008 | Jun 4, 2018 | Common Stock, $.01 Par Value | 2,423 | 0 | D |
| Stock Option (Right to Buy) | $16.17 | Nov 9, 2016 | M | 2,058 | D | Jul 8, 2011 | Jul 8, 2021 | Common Stock, $.01 Par Value | 2,058 | 0 | D |
| Stock Option (Right to Buy) | $16.32 | Nov 9, 2016 | M | 1,295 | D | Jun 14, 2012 | Jun 14, 2022 | Common Stock, $.01 Par Value | 1,295 | 0 | D |
| Stock Option (Right to Buy) | $19.08 | Nov 9, 2016 | M | 1,227 | D | Jul 12, 2013 | Jul 12, 2023 | Common Stock, $.01 Par Value | 1,227 | 0 | D |
| Stock Option (Right to Buy) | $19.97 | Nov 9, 2016 | M | 2,921 | D | Jul 10, 2015 | Jul 10, 2025 | Common Stock, $.01 Par Value | 2,921 | 0 | D |