0001628280-16-012811.txt : 20160318 0001628280-16-012811.hdr.sgml : 20160318 20160318165953 ACCESSION NUMBER: 0001628280-16-012811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160316 FILED AS OF DATE: 20160318 DATE AS OF CHANGE: 20160318 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 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: 161516703 MAIL ADDRESS: STREET 1: C/O XERIUM TECHNOLOGIES, INC. STREET 2: 8537 SIX FORKS RD., SUITE 300 CITY: RALEIGH STATE: NC ZIP: 27615 4 1 wf-form4_145833478228015.xml FORM 4 X0306 4 2016-03-16 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 2016-03-16 4 A 0 23320 0 A 64884 D Common Stock 2016-03-16 4 F 0 7731 7.47 D 57153 D Represents shares withheld by the Company to satisfy tax withholding obligation upon vesting and delivery of shares underlying performance-based and time-based Restricted Stock Units granted under the Company's 2013 Long Term Incentive Plan. /s/ Kevin McDougall, by power of attorney 2016-03-18