0001240679-12-000024.txt : 20120515 0001240679-12-000024.hdr.sgml : 20120515 20120515164327 ACCESSION NUMBER: 0001240679-12-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120515 DATE AS OF CHANGE: 20120515 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROCK MITCHELL CENTRAL INDEX KEY: 0001240676 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 12845492 MAIL ADDRESS: STREET 1: C/O UFP TECHNOLOGIES, INC. STREET 2: 172 EAST MAIN STREET CITY: GEORGETOWN STATE: MA ZIP: 01833 FORMER NAME: FORMER CONFORMED NAME: CAPLAN MITCHELL D DATE OF NAME CHANGE: 20030610 4 1 edgar.xml PRIMARY DOCUMENT X0305 4 2012-05-11 0000914156 UFP TECHNOLOGIES INC UFPT 0001240676 ROCK MITCHELL C/O UFP TECHNOLOGIES, INC. 172 EAST MAIN STREET GEORGETOWN MA 01833 0 1 0 0 Vice President Common Stock, $.01 Par Value 2012-05-11 4 S 0 1098 17.00 D 79542 D Patrick J. Kinney, Jr. as attorney-in-fact for Mitchell Caplan Rock 2012-05-15