-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SNfyz7CdZWd53V2EKBiLd0Sn778z8OJxknw49RBDYECLcukqit3FSaoQda5g4CPD QDjzVQWWyJ4HSWEpfZM6XA== 0000912057-01-005425.txt : 20010223 0000912057-01-005425.hdr.sgml : 20010223 ACCESSION NUMBER: 0000912057-01-005425 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-44833 FILM NUMBER: 1540003 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BAILLY RICHARD L CENTRAL INDEX KEY: 0000938661 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 172 EAST MAIN STREET CITY: GEORGETOWN STATE: MA ZIP: 01833 BUSINESS PHONE: 5083522200 SC 13G/A 1 a2037735zsc13ga.txt SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 7) UFP TECHNOLOGIES, INC. (Name of Issuer) COMMON STOCK - $.01 PAR VALUE 902673102 (CUSIP Number) DECEMBER 31, 2000 ----------------- Date of Event which requires filing of this statement Check the appropriate box to designate the rule pursuant to which this schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [ x ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 (the "Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 5 - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- CUSIP No. 902673102 Page 2 of 5 Pages - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- SCHEDULE 13G AMENDMENT NO. 7 1) Names of Reporting Persons; S.S. or I.R.S. Identification Nos. of Above Persons RICHARD L. BAILLY -------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) ----------------------------------------------------------------------- (b) ----------------------------------------------------------------------- 3) SEC Use Only -------------------------------------------------------------- 4) Citizenship or Place of Organization U.S.A. ------------------------------------ Number of Shares 5) Sole Voting Power 251,447 ----------------------- Beneficially Owned By Each Reporting 6) Shared Voting Power 175,924 ----------------------- Person With 7) Sole Dispositive Power 251,447 ----------------------- 8) Shared Dispositive Power 175,924 ----------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 427,371 -------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) -------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row (9) 9.7% ----------------------- 12) Type of Reporting Person (See Instructions) IN ----------------------- - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- CUSIP No. 902673102 Page 3 of 5 Pages - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- SECURITIES AND EXCHANGE COMMISSION SCHEDULE 13G AMENDMENT NO. 7 Item 1(a) Name of Issuer: UFP Technologies, Inc. (b) Address of Issuer's Principal Executive Offices: 172 East Main Street Georgetown, Massachusetts 01833 Item 2(a) Name of Person Filing: Richard L. Bailly (b) Address of Principal Business Office or, if none, Residence: 172 East Main Street Georgetown, Massachusetts 01833 (c) Citizenship: USA (d) Title of Class of Securities: Common Stock, $.01 par value (e) CUSIP NUMBER: 902673102 Item 3 If this statement is filed pursuant to Section 240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: Not Applicable If this statement is filed pursuant to Section 240.13d-1(c), check this box [ ] - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- CUSIP No. 902673102 Page 4 of 5 Pages - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- Item 4 (a) Amount Beneficially Owned: 427,371 (b) Percent of Class: 9.7% (c) Number of Shares as to which such person has: (i) sole power to direct the vote 251,447 (ii) shared power to vote or to direct the vote 175,924 (iii) sole power to dispose or to direct the disposition of 251,447 (iv) shared power to dispose or to direct the disposition of 175,924 Item 5 Ownership of Five Percent or Less of a Class: Not Applicable Item 6 Ownership of More than Five Percent on Behalf of Another Person: Not Applicable Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: Not Applicable Item 8 Identification and Classification of Members of the Group: Not Applicable Item 9 Notice of Dissolution of Group: Not Applicable Item 10 Certification (a) Not Applicable (b) Not Applicable - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- CUSIP No. 902673102 Page 5 of 5 Pages - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- After reasonable inquiry and to the best of my knowledge and belief, I hereby certify that the information set forth in this statement is true, complete and correct. FEBRUARY 12, 2001 ------------------------------ Date /s/ RICHARD L. BAILLY ------------------------------ Signature RICHARD L. BAILLY ------------------------------ Name/Title -----END PRIVACY-ENHANCED MESSAGE-----