0001287151-17-000113.txt : 20171002 0001287151-17-000113.hdr.sgml : 20171002 20171002210950 ACCESSION NUMBER: 0001287151-17-000113 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170930 FILED AS OF DATE: 20171002 DATE AS OF CHANGE: 20171002 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: 171115952 MAIL ADDRESS: STREET 1: C/O XERIUM TECHNOLOGIES, INC STREET 2: 8537 SIX FORKS RD., SUITE 300 CITY: RALEIGH STATE: NC ZIP: 27615 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 4 1 wf-form4_150699297476085.xml FORM 4 X0306 4 2017-09-30 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 2017-09-30 4 A 0 3728 0 A 43489 D Grant of Director Deferred Stock Units, settled immediately in shares of Common Stock. /s/ Phillip Kennedy, by power of attorney 2017-10-02