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