SEC Form 4 · accession 0001140361-16-083471
CHICOPEE BANCORP, INC. · CBNK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Guida R Sajdak
Officer — SVP and CFO
Period of report
Oct 21, 2016
Accepted (ET)
Oct 25, 2016 · 11:42 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001355786
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 21, 2016 | J | 1,100 | — | D | 0 | D | |
| Common StockF1 | Oct 21, 2016 | J | 3,180 | — | D | 0 | I | By 401(k) |
| Common StockF1 | Oct 21, 2016 | J | 7,027 | — | D | 0 | I | By ESOP |
| Common StockF1 | Oct 21, 2016 | J | 200 | — | D | 0 | I | By Son |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $16.55 | Oct 21, 2016 | J | 15,000 | D | Jan 22, 2014 | Jan 22, 2023 | Common Stock | 15,000 | 0 | D |
| Stock OptionsF2 | $14.10 | Oct 21, 2016 | J | 3,000 | D | Feb 3, 2012 | Feb 3, 2021 | Common Stock | 3,000 | 0 | D |
| Stock OptionsF2 | $14.21 | Oct 21, 2016 | J | 6,000 | D | Jan 25, 2013 | Jan 25, 2022 | Common Stock | 6,000 | 0 | D |
| Stock OptionsF2 | $14.29 | Oct 21, 2016 | J | 15,000 | D | Jul 26, 2008 | Jul 26, 2017 | Common Stock | 15,000 | 0 | D |
| Stock OptionsF2 | $12.41 | Oct 21, 2016 | J | 3,000 | D | Dec 10, 2010 | Dec 10, 2019 | Common Stock | 3,000 | 0 | D |
Explanation of responses
- F1Each share of common stock was converted into and became exchangeable for the right to receive 2.425 shares of Westfield Financial, Inc. common stock.
- F2Each option was converted into an option to purchase a number of shares of Westfield Financial, Inc. common stock determined by multiplying the number of shares of Chicopee Bancorp, Inc. common stock subject to such stock option by 2.425, at a per share exercise price equal to the quotient obtained by dividing the per share exercise price for each share of Chicopee Bancorp, Inc. common stock subject to such option by 2.425.