SEC Form 4 · accession 0000814676-17-000005
CPS TECHNOLOGIES CORP/DE/ · CPSH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard W Adams
Officer — Senior V.P. & CTO
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 12:01 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 | $1.57 | Feb 17, 2017 | A | 2,000 | A | Feb 17, 2018 | Feb 17, 2027 | Common Stock | 2,000 | 230,750 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 2,000 | A | Feb 17, 2019 | Feb 17, 2027 | Common Stock | 2,000 | 232,750 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 2,000 | A | Feb 17, 2020 | Feb 17, 2027 | Common Stock | 2,000 | 234,750 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 2,000 | A | Feb 17, 2021 | Feb 17, 2027 | Common Stock | 2,000 | 236,750 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 2,000 | A | Feb 17, 2022 | Feb 17, 2027 | Common Stock | 2,000 | 238,750 | D |