Initial Statement of Beneficial Ownership (3)
June 15 2021 - 05:13PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Cardin Steve |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/9/2021
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3. Issuer Name and Ticker or Trading Symbol
UFP TECHNOLOGIES INC [UFPT]
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(Last)
(First)
(Middle)
C/O UFP TECHNOLOGIES, INC., 100 HALE STREET |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Vice President / |
(Street)
NEWBURYPORT, MA 01950
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, $.01 Par Value | 1449 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Includes restricted stock units granted on various dates under the issuer's 2003 Incentive Plan the vesting under which are solely time-based, that are to be settled solely in shares of common stock. The units vest with respect to 130 shares on June 3, 2022, 402 shares on March 1, 2022, 403 shares on March 1, 2023 and 203 shares on March 1, 2024, so long as the recipient is in the continuous employ of the Issuer through each such respective vesting date, |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Cardin Steve C/O UFP TECHNOLOGIES, INC. 100 HALE STREET NEWBURYPORT, MA 01950 |
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| Vice President |
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Signatures
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Patrick J. Kinney, Jr., as attorney-in-fact for Steve Cardin | | 6/15/2021 |
**Signature of Reporting Person | Date |
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