0001617669-19-000058.txt : 20190819 0001617669-19-000058.hdr.sgml : 20190819 20190819145435 ACCESSION NUMBER: 0001617669-19-000058 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190815 FILED AS OF DATE: 20190819 DATE AS OF CHANGE: 20190819 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Viola Donn J CENTRAL INDEX KEY: 0001314197 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37480 FILM NUMBER: 191036084 MAIL ADDRESS: STREET 1: C/O REV GROUP, INC. STREET 2: 111 EAST KILBOURN AVENUE, SUITE 2600 CITY: MILWAUKEE STATE: WI ZIP: 53202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Unique Fabricating, Inc. CENTRAL INDEX KEY: 0001617669 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 461846791 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 BUSINESS PHONE: 248-853-2333 MAIL ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 4 1 wf-form4_156624085879107.xml FORM 4 X0306 4 2019-08-15 0 0001617669 Unique Fabricating, Inc. UFAB 0001314197 Viola Donn J 800 STANDARD PARKWAY AUBURN HILLS MI 48326 1 0 0 0 Common Stock, $0.001 par value. 2019-08-15 4 P 0 20000 2.64 A 87500 D Includes shares of Common Stock subject to stock options for 7,500 shares. /s/ Donn Viola 2019-08-15