0001287151-18-000122.txt : 20181017
0001287151-18-000122.hdr.sgml : 20181017
20181017161456
ACCESSION NUMBER: 0001287151-18-000122
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: Kennedy Phillip B.
CENTRAL INDEX KEY: 0001729624
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32498
FILM NUMBER: 181126539
MAIL ADDRESS:
STREET 1: 14101 CAPITAL BOULEVARD
CITY: YOUNGSVILLE
STATE: NC
ZIP: 27596
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_153980728045583.xml
FORM 4
X0306
4
2018-10-17
1
0001287151
XERIUM TECHNOLOGIES INC
XRM
0001729624
Kennedy Phillip B.
C/O XERIUM TECHNOLOGIES, INC.
14101 CAPITAL BOULEVARD
YOUNGSVILLE
NC
27596
0
1
0
0
EVP, GC & Secretary
Common Stock
2018-10-17
4
D
0
40
13.50
D
0
D
Phantom Stock Unit
2018-10-17
4
D
0
33937
13.50
D
Common Stock
33937.0
0
D
Phantom Stock Unit
2018-10-17
4
D
0
18222
13.50
D
Common Stock
18222.0
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.
Each Phantom Stock Unit ("2018 Units") is the economic equivalent of one share of the Company's common stock and was awarded pursuant to the Company's 2018 Long-Term Incentive Plan. In connection with the Merger, on October 17, 2018, the 2018 Units vested and were converted into the right to receive 13.50 per unit.
Each Phantom Stock Unit ("2017 Units") is the economic equivalent of one share of the Company's common stock and was awarded pursuant to the Company's 2017 Long-Term Incentive Plan. In connection with the Merger, on October 17, 2018, the 2017 Units vested and were converted into the right to receive $13.50 per unit.
/s/ Phillip Kennedy
2018-10-17