0001437749-21-004806.txt : 20210303
0001437749-21-004806.hdr.sgml : 20210303
20210303131140
ACCESSION NUMBER: 0001437749-21-004806
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210301
FILED AS OF DATE: 20210303
DATE AS OF CHANGE: 20210303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FAIN PHILIP A
CENTRAL INDEX KEY: 0001294958
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20852
FILM NUMBER: 21708054
MAIL ADDRESS:
STREET 1: C/O CXO ON THE GO OF DELAWARE, LLC
STREET 2: 3349 MONROE AVENUE, # 256
CITY: ROCHESTER
STATE: NY
ZIP: 14618
FORMER NAME:
FORMER CONFORMED NAME: Fain Phillip
DATE OF NAME CHANGE: 20040622
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ULTRALIFE CORP
CENTRAL INDEX KEY: 0000875657
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690]
IRS NUMBER: 161387013
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2000 TECHNOLOGY PARKWAY
CITY: NEWARK
STATE: NY
ZIP: 14513
BUSINESS PHONE: 3153327100
MAIL ADDRESS:
STREET 1: 2000 TECHNOLOGY PARKWAY
CITY: NEWARK
STATE: NY
ZIP: 14513
FORMER COMPANY:
FORMER CONFORMED NAME: ULTRALIFE BATTERIES INC
DATE OF NAME CHANGE: 19940224
4
1
rdgdoc.xml
FORM 4
X0306
4
2021-03-01
0000875657
ULTRALIFE CORP
ULBI
0001294958
FAIN PHILIP A
2000 TECHNOLOGY PARKWAY
NEWARK
NY
14513
1
CFO and Treasurer
Common Stock; $.10 par value
2021-03-01
4
M
0
23160
3.9384
A
118160
D
Stock Options
3.9384
2021-03-01
4
M
0
70000
0
A
2021-03-01
2021-03-04
Common Stock
70000
0
D
(1) Represents shares of common stock acquired by the Reporting Person upon exercise of options for 70,000 shares of common stock of the Company, net of 46,840 shares of common stock, retained by the Company at a price determined pursuant to the terms of the Company's 2004 Long Term Incentive Plan, in payment of the exercise price for the options and the Reporting Person's individual minimum statutory withholding tax obligation.
Represents exercise of options for 70,000 shares of common stock of the Company otherwise expiring on 3/4/21.
/s/ Philip A. Fain
2021-03-03