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