0001617669-21-000091.txt : 20210923 0001617669-21-000091.hdr.sgml : 20210923 20210923164323 ACCESSION NUMBER: 0001617669-21-000091 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: Benedict Susan C. CENTRAL INDEX KEY: 0001778671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37480 FILM NUMBER: 211272985 MAIL ADDRESS: STREET 1: C/O STONERIDGE, INC. STREET 2: 39675 MACKENZIE DRIVE, SUITE 400 CITY: NOVI STATE: MI ZIP: 48377 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_163242979100087.xml FORM 4 X0306 4 2021-09-21 0 0001617669 Unique Fabricating, Inc. UFAB 0001778671 Benedict Susan C. C/O UNIQUE FABRICATING, INC. 800 STANDARD PARKWAY AUBURN HILLS MI 48326 1 0 0 0 Common Stock 2021-09-21 4 P 0 4444 2.25 A 4444 D /s/ Susan C. Benedict 2021-09-21