0001617669-21-000036.txt : 20210506 0001617669-21-000036.hdr.sgml : 20210506 20210506172901 ACCESSION NUMBER: 0001617669-21-000036 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20210506 DATE AS OF CHANGE: 20210506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cain Byrd Douglas III CENTRAL INDEX KEY: 0001787652 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37480 FILM NUMBER: 21899154 MAIL ADDRESS: STREET 1: 2622 TWIN HILLS COURT CITY: UNION STATE: KY ZIP: 41091 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_162033650184104.xml FORM 4 X0306 4 2021-05-04 0 0001617669 Unique Fabricating, Inc. UFAB 0001787652 Cain Byrd Douglas III C/O UNIQUE FABRICATING, INC. 800 STANDARD PARKWAY AUBURN HILLS MI 48326 0 1 0 0 President and CEO Common Stock 27140 D Stock Option (Right to Buy) 4.51 2021-05-04 4 A 0 13304 0 A 2031-05-04 Common Stock, $0.001 par value 13304.0 298304 D The options vest 20% on date of grant (May 4, 2021) and in four substantially equal 20% installments on May 4, 2022, May 4, 2023, May 4, 2024, and May 4, 2025. /s/Byrd Douglas Cain, III 2021-05-06