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