0001240679-22-000021.txt : 20220303 0001240679-22-000021.hdr.sgml : 20220303 20220303162643 ACCESSION NUMBER: 0001240679-22-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220301 FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 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: 22709220 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 2022-03-01 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 2022-03-01 4 F 0 7368 67 D 464417 D Represents shares withheld to cover tax liability with respect to stock unit awards granted in 2018, 2019, 2020 and 2021 that vested on March 1, 2022. Patrick J. Kinney, Jr., as attorney-in-fact for R. Jeffrey Bailly 2022-03-03