0001617669-22-000012.txt : 20220307
0001617669-22-000012.hdr.sgml : 20220307
20220307162644
ACCESSION NUMBER: 0001617669-22-000012
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: Baum Richard L Jr
CENTRAL INDEX KEY: 0001621461
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37480
FILM NUMBER: 22718370
MAIL ADDRESS:
STREET 1: 10 KINZEL LANE
CITY: WEST ORANGE
STATE: NJ
ZIP: 07052
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_164668838978809.xml
FORM 4
X0306
4
2022-03-04
0
0001617669
Unique Fabricating, Inc.
UFAB
0001621461
Baum Richard L Jr
C/O UNIQUE FABRICATING, INC.
800 STANDARD PARKWAY
AUBURN HILLS
MI
48326
1
0
0
0
Common Stock, $0.001 par value
336794
D
Warrant to Buy Common Stock
3.12
2022-03-04
4
J
0
19540
0
A
2021-09-21
2026-09-21
Warrant to Buy Common Stock
19540.0
27040
D
Mr. Baum 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/ Richard L. Baum, Jr
2022-03-04