0001033284-22-000002.txt : 20221110 0001033284-22-000002.hdr.sgml : 20221110 20221110151500 ACCESSION NUMBER: 0001033284-22-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221104 FILED AS OF DATE: 20221110 DATE AS OF CHANGE: 20221110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILLY R JEFFREY CENTRAL INDEX KEY: 0001033284 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 221376644 MAIL ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UFP TECHNOLOGIES INC CENTRAL INDEX KEY: 0000914156 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 042314970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 BUSINESS PHONE: 978-352-2200 MAIL ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2022-11-04 0000914156 UFP TECHNOLOGIES INC UFPT 0001033284 BAILLY R JEFFREY C/O UFP TECHNOLOGIES, INC. 100 HALE STREET NEWBURYPORT MA 01950 1 1 0 0 President and CEO Common Stock, $.01 Par Value 2022-11-04 5 G 0 184929 0 D 279488 D Common Stock, $.01 Par Value 2022-11-04 5 G 0 184929 0 A 184929 I In Trust Common Stock, $.01 Par Value 2022-11-07 5 G 0 8633 0 D 270855 D Common Stock, $.01 Par Value 2022-11-07 5 G 0 8633 0 A 193562 I In Trust Common Stock, $.01 Par Value 2022-11-08 4 S 0 8633 115.9 D 184929 I In Trust Shares gifted to irrevocable trust primarily for the benefit of the immediate family of the reporting person and his spouse. The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed an admission that the reporting person is the beneficial owner of any or all of the reported shares for purposes of Section 16 or any other purpose. The Price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $115.85 to $116.03, inclusive. The reporting person undertakes to provide UFP Technologies, Inc., any security holder of UFP Technologies, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within such range. Patrick J. Kinney, Jr., as attorney-in-fact for R. Jeffrey Bailly 2022-11-10