0001617669-21-000088.txt : 20210923
0001617669-21-000088.hdr.sgml : 20210923
20210923164236
ACCESSION NUMBER: 0001617669-21-000088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210921
FILED AS OF DATE: 20210923
DATE AS OF CHANGE: 20210923
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peninsula Fund V Limited Partnership
CENTRAL INDEX KEY: 0001470254
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37480
FILM NUMBER: 211272980
BUSINESS ADDRESS:
STREET 1: 500 WOODWARD AVENUE
STREET 2: SUITE 2800
CITY: DETROIT
STATE: MI
ZIP: 48226
BUSINESS PHONE: 313-237-5100
MAIL ADDRESS:
STREET 1: 500 WOODWARD AVENUE
STREET 2: SUITE 2800
CITY: DETROIT
STATE: MI
ZIP: 48226
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: 1231
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_163242974157180.xml
FORM 4
X0306
4
2021-09-21
0
0001617669
Unique Fabricating, Inc.
UFAB
0001470254
Peninsula Fund V Limited Partnership
500 WOODWARD AVENUE
SUITE 2800
DETROIT
MI
48226
0
0
1
0
Common Stock
2021-09-21
4
P
0
150000
2.25
A
1594632
D
/s/ Scott A. Reilly
2021-09-21