0001287151-17-000065.txt : 20170601
0001287151-17-000065.hdr.sgml : 20170601
20170601171341
ACCESSION NUMBER: 0001287151-17-000065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170530
FILED AS OF DATE: 20170601
DATE AS OF CHANGE: 20170601
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: Staton Mark
CENTRAL INDEX KEY: 0001705313
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32498
FILM NUMBER: 17885615
MAIL ADDRESS:
STREET 1: C/O XERIUM TECHNOLOGIES, INC.
STREET 2: 14101 CAPITAL BOULEVARD
CITY: YOUNGSVILLE
STATE: NC
ZIP: 27596
4
1
wf-form4_149635160732574.xml
FORM 4
X0306
4
2017-05-30
0
0001287151
XERIUM TECHNOLOGIES INC
XRM
0001705313
Staton Mark
C/O XERIUM TECHNOLOGIES, INC.
14101 CAPITAL BOULEVARD
YOUNGSVILLE
NC
27596
1
1
0
0
President and CEO
Phantom Stock Unit
2017-05-30
4
A
0
72886
0
A
Common Stock
72886.0
72886
D
Each Phantom Stock Unit is the economic equivalent of one share of Xerium Technologies, Inc. common stock. Subject to time and performance conditions and early vesting in limited circumstances, on 5/30/2020, the Phantom Stock Units will be settled in cash equal to the average closing price of the common stock for the 30-days preceding 5/30/2020. No shares of common stock will be issued in connection with the settlement of the Phantom Stock Units.
/s/ Phillip Kennedy, by power of attorney
2017-06-01