0001437749-22-005257.txt : 20220304 0001437749-22-005257.hdr.sgml : 20220304 20220304105916 ACCESSION NUMBER: 0001437749-22-005257 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220304 DATE AS OF CHANGE: 20220304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAIN PHILIP A CENTRAL INDEX KEY: 0001294958 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20852 FILM NUMBER: 22712669 MAIL ADDRESS: STREET 1: C/O CXO ON THE GO OF DELAWARE, LLC STREET 2: 3349 MONROE AVENUE, # 256 CITY: ROCHESTER STATE: NY ZIP: 14618 FORMER NAME: FORMER CONFORMED NAME: Fain Phillip DATE OF NAME CHANGE: 20040622 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ULTRALIFE CORP CENTRAL INDEX KEY: 0000875657 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 161387013 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2000 TECHNOLOGY PARKWAY CITY: NEWARK STATE: NY ZIP: 14513 BUSINESS PHONE: 3153327100 MAIL ADDRESS: STREET 1: 2000 TECHNOLOGY PARKWAY CITY: NEWARK STATE: NY ZIP: 14513 FORMER COMPANY: FORMER CONFORMED NAME: ULTRALIFE BATTERIES INC DATE OF NAME CHANGE: 19940224 4 1 rdgdoc.xml FORM 4 X0306 4 2022-03-02 0000875657 ULTRALIFE CORP ULBI 0001294958 FAIN PHILIP A 2000 TECHNOLOGY PARKWAY NEWARK NY 14513 1 CFO and Treasurer Common Stock; $.10 par value 2022-03-02 4 M 0 8500 3.7103 A 128500 D Stock Options 3.7103 2022-03-02 4 M 0 30000 0 A 2022-03-02 2022-03-03 Common Stock 30000 0 D (1) Represents shares of common stock acquired by the Reporting Person upon exercise of options for 30,000 shares of common stock of the Company, net of 21,500 shares of common stock, retained by the Company at a price determined pursuant to the terms of the Company's 2014 Long Term Incentive Plan, in payment of the exercise price for the options and the Reporting Person's individual minimum statutory withholding tax obligation. Represents exercise of options for 30,000 shares of common stock of the Company. /s/ Philip A. Fain 2022-03-04