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