0001287151-18-000112.txt : 20181017
0001287151-18-000112.hdr.sgml : 20181017
20181017160818
ACCESSION NUMBER: 0001287151-18-000112
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: Foley April Hoxie
CENTRAL INDEX KEY: 0001491875
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32498
FILM NUMBER: 181126500
MAIL ADDRESS:
STREET 1: 7480 FLYING CLOUD DRIVE
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55344-3720
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_153980688235233.xml
FORM 4
X0306
4
2018-10-17
1
0001287151
XERIUM TECHNOLOGIES INC
XRM
0001491875
Foley April Hoxie
C/O XERIUM TECHNOLOGIES, INC.
14101 CAPITAL BOULEVARD
YOUNGSVILLE
NC
27596
1
0
0
0
Common Stock
2018-10-17
4
D
0
64285
13.50
D
0
D
Represents the conversion of outstanding shares of common stock of Xerium Technologies, Inc. (the "Company") and vested director deferred stock units into the right to receive $13.50 per share or unit in connection with the merger of the Company with an indirect wholly owned subsidiary of Andritz AG on October 17, 2018, pursuant to an Agreement and Plan of Merger dated June 24, 2018.
/s/ Phillip Kennedy, by power of attorney
2018-10-17