0001240679-12-000018.txt : 20120417 0001240679-12-000018.hdr.sgml : 20120417 20120417165731 ACCESSION NUMBER: 0001240679-12-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120413 FILED AS OF DATE: 20120417 DATE AS OF CHANGE: 20120417 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LESAVOY RICHARD CENTRAL INDEX KEY: 0001240680 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 12764220 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UFP TECHNOLOGIES INC CENTRAL INDEX KEY: 0000914156 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS FOAM PRODUCTS [3086] IRS NUMBER: 042314970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 172 EAST MAIN ST CITY: GEORGETOWN STATE: MA ZIP: 01833 BUSINESS PHONE: 5083522200 MAIL ADDRESS: STREET 1: 172 EAST MAIN ST CITY: GEORGETOWN STATE: MA ZIP: 02135 4 1 edgar.xml PRIMARY DOCUMENT X0305 4 2012-04-13 0000914156 UFP TECHNOLOGIES INC UFPT 0001240680 LESAVOY RICHARD C/O UFP TECHNOLOGIES, INC. 172 EAST MAIN STREET GEORGETOWN MA 01833 0 1 0 0 Vice President Common Stock, $.01 Par Value 2012-04-13 4 M 0 20000 3.32 A 128999 D Employee Stock Option 3.32 2012-04-13 4 M 0 20000 0 D 2012-05-16 Common Stock, $.01 Par Value 20000 0 D Option became exercisable with respect to 20% of the shares on May 16, 2005 and with respect to an additional 20% of the shares on each of the next four anniversary dates thereafter. Patrick J. Kinney, Jr. as attorney-in-fact for Richard LeSavoy 2012-04-17