0001287151-18-000111.txt : 20181017
0001287151-18-000111.hdr.sgml : 20181017
20181017160741
ACCESSION NUMBER: 0001287151-18-000111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181017
FILED AS OF DATE: 20181017
DATE AS OF CHANGE: 20181017
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: 181126497
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_153980684528037.xml
FORM 4
X0306
4
2018-10-17
1
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
2018-10-17
4
D
0
50434
13.50
D
0
D
Represents the conversion of outstanding shares of common stock of Xerium Technologies, Inc. (the "Company") into the right to receive $13.50 per share in connection with the merger of the Company with an indirect wholly owned subsidiary of Andritz AG on October 17, 2018 (the "Merger"), pursuant to an Agreement and Plan of Merger dated June 24, 2018.
/s/ Phillip Kennedy, by power of attorney
2018-10-17