0001171843-19-000128.txt : 20190104 0001171843-19-000128.hdr.sgml : 20190104 20190104103705 ACCESSION NUMBER: 0001171843-19-000128 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20190104 DATE AS OF CHANGE: 20190104 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: 1934 Act SEC FILE NUMBER: 005-44833 FILM NUMBER: 19508669 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BAILLY R JEFFREY CENTRAL INDEX KEY: 0001033284 FILING VALUES: FORM TYPE: SC 13G/A SC 13G/A 1 fsc13g_010418.htm FORM SC 13G/A

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

 

(Amendment No. 18)*

 

UFP Technologies, Inc.

(Name of Issuer)

 

Common Stock - $.01 Par Value

 

902673102

(CUSIP Number)

 

_December 31, 2018_

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 2 of 5 Pages 

 

 

SCHEDULE 13G

Amendment No. 18

 

1)Names of Reporting Persons; S.S. or I.R.S. Identification Nos. of Above Persons

 

  R. Jeffrey 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 481,143

Beneficially Owned      

By Each Reporting 6) Shared Voting Power 0
Person With      

  7) Sole Dispositive Power 481,143
       

  8) Shared Dispositive Power 0

 

9)Aggregate Amount Beneficially Owned by Each Reporting Person

 

  481,143

 

10)Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

 

           

 

11)Percent of Class Represented by Amount in Row (9)

 

  6.5%

 

12)Type of Reporting Person (See Instructions)

 

  IN

 

 

 

 Page 3 of 5 Pages 

 

SECURITIES AND EXCHANGE COMMISSION

SCHEDULE 13G

Amendment No. 18

 

Item 1(a)Name of Issuer: UFP Technologies, Inc.

 

(b)Address of Issuer's Principal Executive Offices:

 

100 Hale Street

Newburyport, Massachusetts 01950

 

Item 2(a)Name of Person Filing: R. Jeffrey Bailly

 

(b)Address of Principal Business Office or, if none, Residence:

 

100 Hale Street

Newburyport, Massachusetts 01950

 

(c)Citizenship: USA

 

(d)Title of Class of Securities: Common Stock, $.01 par value

 

(e)CUSIP NUMBER: 902673102

 

Item 3If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

(b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

(c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

(d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). 

(e) [ ] An investment advisor in accordance with §240.13d-1(b)(1)(ii)(E). 

(f) [ ] An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F).

(g) [ ] A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G). 

(h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); 

(i) [ ] A church plan that is excluded from the definition if an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); 

(j) [ ] Group, in accordance with §240.13d-1(b)(1)(ii)(J).

 

 

 Page 4 of 5 Pages 

 

Item 4 (a)Amount Beneficially Owned:

 

(b) Percent of Class: 6.5%

  

(c) Number of Shares as to which such person has:

 

  (i) sole power to direct the vote 481,143  
       
  (ii) shared power to vote or to direct the vote 0  
       
  (iii) sole power to dispose or to direct the disposition of 481,143  
       
  (iv) shared power to dispose or to direct the disposition of 0  

 

Item 5Ownership of Five Percent or Less of a Class:

 

Not Applicable

 

Item 6Ownership of More than Five Percent on Behalf of Another Person:

 

Not Applicable

 

Item 7Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company:

 

Not Applicable

 

Item 8Identification and Classification of Members of the Group:

 

Not Applicable

 

Item 9Notice of Dissolution of Group:

 

Not Applicable

 

Item 10Certification

 

Not Applicable

 

 

 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.

 

 

January 4, 2019                     

Date

 

 

/s/ R. Jeffrey Bailly                   

Signature

 

 

R. Jeffrey Bailly                     

Name/Title