0001470254-15-000006.txt : 20150805 0001470254-15-000006.hdr.sgml : 20150805 20150805151226 ACCESSION NUMBER: 0001470254-15-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150804 FILED AS OF DATE: 20150805 DATE AS OF CHANGE: 20150805 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Unique Fabricating, Inc. CENTRAL INDEX KEY: 0001617669 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 461846791 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 BUSINESS PHONE: 248-853-2333 MAIL ADDRESS: STREET 1: 800 STANDARD PARKWAY CITY: AUBURN HILLS STATE: MI ZIP: 48326 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Peninsula Fund V Limited Partnership CENTRAL INDEX KEY: 0001470254 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37480 FILM NUMBER: 151028715 BUSINESS ADDRESS: STREET 1: 500 WOODWARD AVENUE STREET 2: SUITE 2800 CITY: DETROIT STATE: MI ZIP: 48226 BUSINESS PHONE: 313-237-5100 MAIL ADDRESS: STREET 1: 500 WOODWARD AVENUE STREET 2: SUITE 2800 CITY: DETROIT STATE: MI ZIP: 48226 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2015-08-04 0 0001617669 Unique Fabricating, Inc. UFAB 0001470254 Peninsula Fund V Limited Partnership 500 WOODWARD AVENUE SUITE 2800 DETROIT MI 48226 0 0 1 0 Common Stock 2015-08-04 4 X 0 29232 3.33 A 1444632 D Warrant to Buy Common Stock 3.33 2015-08-04 4 X 0 29232 0 D 2013-12-18 2023-12-18 Common Stock 29232 0 D Bradley J. Wyatt, Attorney-in-Fact 2015-08-05