SEC Filing | UNIFI, Inc.

View:

SEC FORM 3 SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0104
Estimated average burden
hours per response:			0.5

1. Name and Address of Reporting Person^*

SMOSNA CHRISTOPHER A

(Last)

(First)

(Middle)

7201 W. FRIENDLY AVENUE

(Street)

GREENSBORO

27410

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
06/26/2017

3. Issuer Name and Ticker or Trading Symbol
UNIFI INC [ UFI ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
VP and Interim CFO & CAO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
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)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (Right to Buy)	⁽¹⁾	07/27/2022	Common Stock	5,000	11.09	D
Employee Stock Option (Right to Buy)	⁽²⁾	07/24/2023	Common Stock	5,000	22.08	D
Employee Stock Option (Right to Buy)	⁽³⁾	07/22/2024	Common Stock	5,000	27.38	D
Employee Stock Option (Right to Buy)	⁽⁴⁾	07/22/2025	Common Stock	5,000	32.36	D
Employee Stock Option (Right to Buy)	⁽⁵⁾	10/26/2026	Common Stock	5,000	29.09	D

Explanation of Responses:

1. The option became exercisable in three equal annual installments on July 27 of each of 2013, 2014 and 2015.

2. The option became exercisable in three equal annual installments on July 24 of each of 2014, 2015 and 2016.

3. The option became exercisable as to 1,666 shares on July 22, 2015 and 1,667 shares on July 22, 2016 and becomes exercisable as to 1,667 shares on July 22, 2017.

4. The option became exercisable as to 1,666 shares on July 22, 2016 and becomes exercisable as to 1,667 shares on July 22 of each of 2017 and 2018.

5. The option becomes exercisable in three equal annual installments on October 26 of each of 2017, 2018 and 2019.

Remarks:

	/s/ Christopher A. Smosna by Ben Sirmons POA	06/27/2017
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

                      FILING AUTHORITY CONFIRMATION STATEMENT

This Filing Authority Confirmation Statement confirms that the undersigned has
authorized and designated Ben Sirmons and Janet Thompson, who are the Secretary
and the Assistant Secretary, respectively, of Unifi, Inc., each of whom may act
independently of the other, to execute and file on the undersigned's behalf any
Forms 3, 4 and 5 (including any amendments thereto) that the undersigned may be
required to file with the U.S. Securities and Exchange Commission as a result of
the undersigned's ownership of, or transactions in, the securities of Unifi,
Inc.

The respective authority of Ben Sirmons and Janet Thompson under this Filing
Authority Confirmation Statement shall continue (for so long as he or she holds
the position with Unifi, Inc. indicated above) until the undersigned is no
longer required to file Forms 3, 4 or 5 with regard to the undersigned's
ownership of, or transactions in, the securities of Unifi, Inc., unless earlier
revoked in writing.  The undersigned acknowledges that Ben Sirmons and Janet
Thompson are not assuming any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934, as amended.

Date:  June 27, 2017

/s/ Christopher A. Smosna
Signature

Christopher A. Smosna
Printed Name