0001617669-22-000010.txt : 20220307 0001617669-22-000010.hdr.sgml : 20220307 20220307162236 ACCESSION NUMBER: 0001617669-22-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220304 FILED AS OF DATE: 20220307 DATE AS OF CHANGE: 20220307 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cooke William CENTRAL INDEX KEY: 0001646570 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37480 FILM NUMBER: 22718287 MAIL ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 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_164668814077722.xml FORM 4 X0306 4 2022-03-04 0 0001617669 Unique Fabricating, Inc. UFAB 0001646570 Cooke William C/O UNIQUE FABRICATING, INC. 800 STANDARD PARKWAY AUBURN HILLS MI 48326 1 0 0 0 Common Stock, $0.001 par value. 54042 D Warrant to Buy Common Stock 3.12 2022-03-04 4 J 0 15632 0 A 2021-09-21 2026-09-21 Warrant to Buy Common Stock 15632.0 23132 D Mr. Cooke received the warrants as part of a distribution, on March 4, 2022, by Taglich Brothers, Inc. of warrants to purchase an aggregate of 156,320 shares of common stock previously issued to it in September 2021 as placement agent for a private placement of common stock by the Company. The distribution by Taglich, for which it did not receive any payment, was to individuals associated with Taglich. /s/ William Cooke 2022-03-04