0001062993-23-005869.txt : 20230303 0001062993-23-005869.hdr.sgml : 20230303 20230303161628 ACCESSION NUMBER: 0001062993-23-005869 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230301 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 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: 23704176 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 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2023-03-01 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 2023-03-01 4 F 0 9117 117.96 D 284797 D Represents shares withheld to cover tax liability with respect to stock unit awards granted in 2019, 2020, 2021 and 2022 that vested on March 1, 2023. The reporting person also holds 109,929 shares of UFP Technologies, Inc. indirectly by Trust. Patrick J. Kinney, Jr., as attorney-in-fact for R. Jeffrey Bailly 2023-03-03