0001062993-23-021582.txt : 20231129 0001062993-23-021582.hdr.sgml : 20231129 20231129150808 ACCESSION NUMBER: 0001062993-23-021582 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231127 FILED AS OF DATE: 20231129 DATE AS OF CHANGE: 20231129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILLY R JEFFREY CENTRAL INDEX KEY: 0001033284 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 231451601 MAIL ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UFP TECHNOLOGIES INC CENTRAL INDEX KEY: 0000914156 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 042314970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 BUSINESS PHONE: 978-352-2200 MAIL ADDRESS: STREET 1: 100 HALE STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2023-11-27 0000914156 UFP TECHNOLOGIES INC UFPT 0001033284 BAILLY R JEFFREY C/O UFP TECHNOLOGIES, INC. 100 HALE STREET NEWBURYPORT MA 01950 1 1 0 0 President and CEO 0 Common Stock, $.01 Par Value 2023-11-27 4 S 0 45 173.00 D 72125 I In Trust The reporting person disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein, if any, and this report shall not be deemed an admission that the reporting person is the beneficial owner of any or all of the reported shares for purposes of Section 16 or any other purpose. The reporting person also owns 284,797 shares of UFP Technologies, Inc. directly. Patrick J. Kinney, Jr., as attorney-in-fact for R. Jeffrey Bailly 2023-11-29