0001287151-16-000223.txt : 20161004 0001287151-16-000223.hdr.sgml : 20161004 20161004185157 ACCESSION NUMBER: 0001287151-16-000223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161004 DATE AS OF CHANGE: 20161004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: XERIUM TECHNOLOGIES INC CENTRAL INDEX KEY: 0001287151 STANDARD INDUSTRIAL CLASSIFICATION: BROADWOVEN FABRIC MILS, MAN MADE FIBER & SILK [2221] IRS NUMBER: 421558674 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14101 CAPITAL BOULEVARD CITY: YOUNGSVILLE STATE: NC ZIP: 27596 BUSINESS PHONE: 919-526-1400 MAIL ADDRESS: STREET 1: 14101 CAPITAL BOULEVARD CITY: YOUNGSVILLE STATE: NC ZIP: 27596 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bailey Roger A CENTRAL INDEX KEY: 0001554009 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32498 FILM NUMBER: 161920755 MAIL ADDRESS: STREET 1: C/O XERIUM TECHNOLOGIES, INC STREET 2: 8537 SIX FORKS RD., SUITE 300 CITY: RALEIGH STATE: NC ZIP: 27615 4 1 wf-form4_147562150486405.xml FORM 4 X0306 4 2016-09-30 0 0001287151 XERIUM TECHNOLOGIES INC XRM 0001554009 Bailey Roger A C/O XERIUM TECHNOLOGIES INC. 14101 CAPITAL BOULEVARD YOUNGSVILLE NC 27596 1 0 0 0 Common Stock 2016-09-30 4 A 0 2242 0 A 31329 D Grant of Director Deferred Stock Units, settled immediately in shares of Common Stock. Represents shares underlying Director Deferred Stock Units and Common Stock. /s/ Cliff Pietrafitta, by power of attorney 2016-10-04