SEC Form 4 · accession 0000814676-16-000054
CPS TECHNOLOGIES CORP/DE/ · CPSH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard W Adams
Officer — Senior Vice-President & CTO
Period of report
Feb 19, 2016
Accepted (ET)
Feb 23, 2016 · 2:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000814676
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | $1.83 | Feb 19, 2016 | A | 2,500 | A | Feb 19, 2017 | Feb 19, 2026 | Common Stock | 2,500 | 218,750 | D |
| Common Stock | $1.83 | Feb 19, 2016 | A | 2,500 | A | Feb 19, 2018 | Feb 19, 2026 | Common Stock | 2,500 | 221,250 | D |
| Common Stock | $1.83 | Feb 19, 2016 | A | 2,500 | A | Feb 19, 2019 | Feb 19, 2026 | Common Stock | 2,500 | 223,750 | D |
| Common Stock | $1.83 | Feb 19, 2016 | A | 2,500 | A | Feb 19, 2020 | Feb 19, 2026 | Common Stock | 2,500 | 226,250 | D |
| Common Stock | $1.83 | Feb 19, 2016 | A | 2,500 | A | Feb 19, 2021 | Feb 19, 2026 | Common Stock | 2,500 | 228,750 | D |