-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OfKKdPVfNo69MP5rE49JvejhCi/MU4lSp0u0A2Pl5iQylwBpJ+jc47+Au8kPHcLK PfxjukV8ibFln+xRD2kT1Q== 0001007594-01-500005.txt : 20010212 0001007594-01-500005.hdr.sgml : 20010212 ACCESSION NUMBER: 0001007594-01-500005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PCD INC CENTRAL INDEX KEY: 0001007594 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC CONNECTORS [3678] IRS NUMBER: 042604950 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-27744 FILM NUMBER: 1529698 BUSINESS ADDRESS: STREET 1: TWO TECHNOLOGY DR STREET 2: CENTENNIAL PARK CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 5085328800 MAIL ADDRESS: STREET 1: 2 TECHNOLOGY DRIVE CITY: PEABODY STATE: MA ZIP: 01960 COMPANY DATA: COMPANY CONFORMED NAME: YORK THEODORE C CENTRAL INDEX KEY: 0001026061 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: PCD INC STREET 2: 2 TECHNOLOGY DR CITY: PEABODY STATE: MA ZIP: 01960 BUSINESS PHONE: 5085328800 MAIL ADDRESS: STREET 1: PCD INC STREET 2: 2 TECHNOLOGY DR CITY: PEABODY STATE: MA ZIP: 01960 5 1 york1200.txt FORM 5 FILING UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person YORK, THEODORE C. c/o PCD Inc. 2 TECHNOLOGY DRIVE CENTENNIAL PARK PEABODY, MA 01960 2. Issuer Name and Ticker or Trading Symbol PCD Inc. PCDI 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year DECEMBER 2000 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) DIRECTOR 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
________________________________________________________________________________ ___________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ________________________________________________________________________________ ___________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ________________________________________________________________________________ ___________________________________________________| ________________________________________________________________________________ ___________________________________________________| ________________________________________________________________________________ ___________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ________________________________________________________________________________ ___________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ________________________________________________________________________________ ___________________________________________________| STOCK OPTION (RIGHT TO P|3.75 |5/26/|A |1500 |A |11/26|5/26/|COMMON STOCK|1500 | |1500 |D | | URCHASE STOCK) | |00 | | | |/00 |10 | | | | | | | - -------------------------------------------------------------------------------- - ---------------------------------------------------| ________________________________________________________________________________ ___________________________________________________|
Explanation of Responses: SIGNATURE OF REPORTING PERSON /s/ THEODORE C. YORK DATE JANUARY 23, 2001 -----END PRIVACY-ENHANCED MESSAGE-----