0001144204-15-040126.txt : 20150630
0001144204-15-040126.hdr.sgml : 20150630
20150630174854
ACCESSION NUMBER: 0001144204-15-040126
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150630
FILED AS OF DATE: 20150630
DATE AS OF CHANGE: 20150630
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: 1228
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tekiele Thomas
CENTRAL INDEX KEY: 0001646724
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37480
FILM NUMBER: 15962433
MAIL ADDRESS:
STREET 1: 800 STANDARD PARKWAY
CITY: AUBURN HILLS
STATE: MI
ZIP: 48326
3
1
v414118_3.xml
OWNERSHIP DOCUMENT
X0206
3
2015-06-30
0
0001617669
Unique Fabricating, Inc.
UFAB
0001646724
Tekiele Thomas
800 STANDARD PARKWAY
AUBURN HILLS
MI
48326
0
1
0
0
Chief Financial Officer
Common Stock, $0.001 par value.
85500
D
Includes 18,000 shares of common stock subject to currently exercisable options. Does not include an additional 18,000 shares which are subject to options which vest and become exercisable with respect to 9,000 shares each year during the next three years on the anniversary of the grant, July 1, 2013.
/s/ Thomas Tekiele
2015-06-30