You can access the original SEC filing by clicking here.
Ownership Summary Table
Name | Sole Voting Power | Shared Voting Power | Sole Dispositive Power | Shared Dispositive Power | Aggregate Amount Owned Power | Percent of Class |
---|---|---|---|---|---|---|
AS INVESTORS | 0 | 1,382,603 | 0 | 1,382,603 | 1,382,603 | 8.46% |
AMERICAN SECURITIES PARTNERS V | 0 | 1,382,603 | 0 | 1,382,603 | 1,382,603 | 8.46% |
AMERICAN SECURITIES PARTNERS V(B) | 0 | 1,382,603 | 0 | 1,382,603 | 1,382,603 | 8.46% |
AMERICAN SECURITIES PARTNERS V(C) | 0 | 1,382,603 | 0 | 1,382,603 | 1,382,603 | 8.46% |
AMERICAN SECURITIES ASSOCIATES V | 0 | 1,382,603 | 0 | 1,382,603 | 1,382,603 | 8.46% |
AMERICAN SECURITIES | 0 | 1,395,532 | 0 | 1,395,532 | 1,395,532 | 8.54% |
Page 1 of 9 – SEC Filing
Xerium Technologies, Inc. |
(Name of Issuer) |
Common Stock, $0.001 par value per share |
(Title of class of securities) |
98416J118 |
(CUSIP number) |
(Name, address and telephone number of person authorized to receive notices and communications) |
September 25, 2017 |
(Date of event which requires filing of this statement) |
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Page 2 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AS INVESTORS, LLC (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,382,603 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,382,603 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,382,603 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.46% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) OO |
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Page 3 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AMERICAN SECURITIES PARTNERS V, L.P. (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,382,603 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,382,603 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,382,603 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.46% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) PN |
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Page 4 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AMERICAN SECURITIES PARTNERS V(B), L.P. (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,382,603 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,382,603 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,382,603 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.46% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) PN |
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Page 5 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AMERICAN SECURITIES PARTNERS V(C), L.P. (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,382,603 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,382,603 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,382,603 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.46% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) PN |
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Page 6 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AMERICAN SECURITIES ASSOCIATES V, LLC (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,382,603 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,382,603 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,382,603 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.46% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) OO |
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Page 7 of 9 – SEC Filing
1 | NAME OF REPORTING PERSONS AMERICAN SECURITIES LLC (See Item 2) | ||||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) T (b) ☐ | ||||
3 | SEC USE ONLY | ||||
4 | SOURCE OF FUNDS (See Instructions) N/A | ||||
5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) | ☐ | |||
6 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | ||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH | 7 | SOLE VOTING POWER 0 (See Item 5) | |||
8 | SHARED VOTING POWER 1,395,532 (See Item 5) | ||||
9 | SOLE DISPOSITIVE POWER 0 (See Item 5) | ||||
10 | SHARED DISPOSITIVE POWER 1,395,532 (See Item 5) | ||||
11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,395,532 (See Item 5) | ||||
12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) | ☐ | |||
13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.54% (See Item 5) | ||||
14 | TYPE OF REPORTING PERSON (See Instructions) IA |
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Page 8 of 9 – SEC Filing
Item 1. | Security and Issuer |
Item 4. | Purpose of Transaction |
Item 5. | Interest in Securities of the Issuer |
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Page 9 of 9 – SEC Filing
AS INVESTORS, LLC | ||
By | /s/ Marc Saiontz | |
Name: | Marc Saiontz | |
Title: | Vice President | |
Date: | September 27, 2017 | |
AMERICAN SECURITIES PARTNERS V, L.P. | ||
By: American Securities Associates V, LLC, its general partner | ||
By | /s/ Michael G. Fisch | |
Name: | Michael G. Fisch | |
Title: | Managing Member | |
Date: | September 27, 2017 | |
AMERICAN SECURITIES PARTNERS V(B), L.P. | ||
By: American Securities Associates V, LLC, its general partner | ||
By: | /s/ Michael G. Fisch | |
Name: | Michael G. Fisch | |
Title: | Managing Member | |
Date: | September 27, 2017 | |
AMERICAN SECURITIES PARTNERS V(C), L.P. | ||
By: American Securities Associates V, LLC, its general partner | ||
By: | /s/ Michael G. Fisch | |
Name: | Michael G. Fisch | |
Title: | Managing Member | |
Date: | September 27, 2017 | |
AMERICAN SECURITIES ASSOCIATES V, LLC | ||
By | /s/ Michael G. Fisch | |
Name: | Michael G. Fisch | |
Title: | Managing Member | |
Date: | September 27, 2017 | |
AMERICAN SECURITIES LLC | ||
By | /s/ Michael G. Fisch | |
Name: | Michael G. Fisch | |
Title: | President and Chief Executive Officer | |
Date: | September 27, 2017 |