0001287151-18-000053.txt : 20180306
0001287151-18-000053.hdr.sgml : 20180306
20180306171922
ACCESSION NUMBER: 0001287151-18-000053
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180302
FILED AS OF DATE: 20180306
DATE AS OF CHANGE: 20180306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bly Michael
CENTRAL INDEX KEY: 0001575017
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32498
FILM NUMBER: 18670934
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_152037474899389.xml
FORM 4
X0306
4
2018-03-02
0
0001287151
XERIUM TECHNOLOGIES INC
XRM
0001575017
Bly Michael
C/O XERIUM TECHNOLOGIES, INC.
14101 CAPITAL BOULEVARD
YOUNGSVILLE
NC
27596
0
1
0
0
EVP of Global Human Resources
Common Stock
2018-03-02
4
F
0
1434
5.90
D
61032
D
Represents shares withheld by the Company to satisfy tax withholding obligations upon vesting and delivery of shares underlying performance-based and time-based Restricted Stock Units granted under the Company's 2015 Long-Term Incentive Plan ("2015 LTIP").
In addition to the number of shares withheld to satisfy tax withholding obligations, the number of shares of common stock reported herein as beneficially owned has been decreased by an additional 2,767 to reflect the forfeiture of Restricted Stock Units originally granted under the 2015 LTIP.
/s/ Phillip Kennedy, by power of attorney
2018-03-06