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