0001062993-23-008993.txt : 20230410 0001062993-23-008993.hdr.sgml : 20230410 20230410173252 ACCESSION NUMBER: 0001062993-23-008993 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230214 FILED AS OF DATE: 20230410 DATE AS OF CHANGE: 20230410 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILLY R JEFFREY CENTRAL INDEX KEY: 0001033284 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 23811920 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/A 1 form4a.xml AMENDED STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0407 4/A 2023-02-14 2023-02-16 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 0 Stock Option (Right to Buy) 111.54 2023-02-14 4 A 0 7935 0 A 2028-02-14 Common Stock, $.01 Par Value 7935 7935 D This filing is being made solely to correct the original form 4 with respect to the number shares granted as options. The option becomes exercisable with respect to 3,967 of the shares on March 1, 2024 and 3,968 of the shares on March 1, 2025. Patrick J. Kinney, Jr., as attorney-in-fact for R. Jeffrey Bailly 2023-04-10