SEC Form 4 · accession 0000814676-17-000007
CPS TECHNOLOGIES CORP/DE/ · CPSH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas E Breen
Officer — SVP, Sales & Marketing
Period of report
Feb 17, 2017
Accepted (ET)
Feb 27, 2017 · 8:37 am 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 | 5,000 | A | Feb 17, 2018 | Feb 17, 2027 | Common Stock | 5,000 | 105,000 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 5,000 | A | Feb 17, 2019 | Feb 17, 2027 | Common Stock | 5,000 | 110,000 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 5,000 | A | Feb 17, 2020 | Feb 17, 2027 | Common Stock | 5,000 | 115,000 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 5,000 | A | Feb 17, 2021 | Feb 17, 2027 | Common Stock | 5,000 | 120,000 | D |
| Common Stock | $1.57 | Feb 17, 2017 | A | 5,000 | A | Feb 17, 2022 | Feb 17, 2027 | Common Stock | 5,000 | 125,000 | D |