-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UvUxEbDfL+GENRlBSRC6DAA2T0W8t6NoIWmX5hNklFTLHk0URbH9fqsfmMA6Tpfu AtHta6hpyIZnYGKwIbj07Q== 0001209396-04-000001.txt : 20040428 0001209396-04-000001.hdr.sgml : 20040428 20040428143134 ACCESSION NUMBER: 0001209396-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040426 FILED AS OF DATE: 20040428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WORRELL PETER R CENTRAL INDEX KEY: 0001209396 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12648 FILM NUMBER: 04760050 BUSINESS ADDRESS: STREET 1: ONE HARBOUR PLACE SUITE 575 STREET 2: C/O THE BIGELOW COMPANY CITY: PORTSMOUTH STATE: NH ZIP: 03801 BUSINESS PHONE: 603 433 6000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UFP TECHNOLOGIES INC CENTRAL INDEX KEY: 0000914156 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS FOAM PRODUCTS [3086] IRS NUMBER: 042314970 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 172 EAST MAIN ST CITY: GEORGETOWN STATE: MA ZIP: 01833 BUSINESS PHONE: 5083522200 MAIL ADDRESS: STREET 1: 172 EAST MAIN ST CITY: GEORGETOWN STATE: MA ZIP: 02135 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-04-26 0000914156 UFP TECHNOLOGIES INC UFPT 0001209396 WORRELL PETER R C/O UFP TECHNOLOGIES, INC. 172 EAST MAIN STREET GEORGETOWN MA 01833 1 0 1 0 Common Stock 2004-04-26 4 P 0 100000 2.50 A 511000 D The reporting person also holds 10,000 shares indirectly by the Bigelow Company Profit Sharing Plan and Trust. The reporting person also holds 4,400 shares indirectly by his spouse. The reporting person disclaims beneficial ownership of the shares held by his spouse. /s/ Patrick J. Kinney, Jr. as attorney-in-fact for Peter R. Worrell 2004-04-28 -----END PRIVACY-ENHANCED MESSAGE-----