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