SD 1 formsd2019.htm SD Document


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
FORM SD
Specialized Disclosure Report
 

UNIQUE FABRICATING, INC.
(Exact name of registrant as specified in its Charter)
 
Delaware
 
001-37480
 
46-1846791
(State or other jurisdiction of
incorporation or organization)
 
(Commission File Number)
 
(IRS Employer
Identification No.)

Unique Fabricating, Inc.
800 Standard Parkway
Auburn Hills, MI 48326
(248)-853-2333
(Address including zip code, and telephone number, including area code, of registrant’s principal executive offices)
 
 
Thomas Tekiele
 
 
 
 
(248)-853-2333
 
 
(Name and telephone number, including area code, of the person to contact in connection with this report.)

x Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1, 2018 to December 30, 2018.





Section 1 — Conflict Minerals Disclosure

Item 1.01. Conflict Minerals Disclosure and Report

A copy of the Unique Fabricating, Inc. (the “Company”) Conflict Minerals Report is provided as Exhibit 1.01 hereto

Item 1.02. Exhibit

As specified in Section 2, Item 2.01 of this Form SD, the Company is hereby filing its Conflict Minerals Report as Exhibit 1.01 to this report.

Section 2 — Exhibits

Item 2.01. Exhibits.

(a) Exhibits







SIGNATURES

Pursuant to the requirements of the Securities Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 
UNIQUE FABRICATING, INC.
Date: May 31, 2019
By:
/s/ Thomas Tekiele
 
 
Name: Thomas Tekiele
 
 
Title:  Chief Financial Officer (Principal Financial and Accounting Officer)