-----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, SZIDOBBw/Ed73DvDAegkJRngbD4VkGQuQs61kqAlhlH4jKB3IXI3dt/uq15L/6ee Ilgi4v+k1hV/5NALYRO+KQ== 0001007594-03-000005.txt : 20030213 0001007594-03-000005.hdr.sgml : 20030213 20030213162127 ACCESSION NUMBER: 0001007594-03-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030213 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: FARNSWORTH JEFFREY A CENTRAL INDEX KEY: 0001026058 RELATIONSHIP: OFFICER 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 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: 1934 Act SEC FILE NUMBER: 000-27744 FILM NUMBER: 03559906 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 5 1 jaf_form5.htm JEFFREY A. FARSNWORTH'S FORM 5 FOR 2002

1. Name and Address of Reporting Person

    Farnsworth, Jeffrey A.
    PCD Inc.
    2 Technology Drive
    Peabody, MA 01960
    USA

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

    2002

5. If Amendment, Date of Original (Month/Day/Year)

6. Relationship of Reporting Person(s) to Issuer (Check all applicable)

    ( ) Director ( ) 10% Owner
    (X) Officer (give title below) ( ) Other (specify below)

   Vice President/General Manager Wells - CTI-USA Division

7. Individual or Joint/Group Filing (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. Trans- 
   action
   Date
 
    (Month/ 
     Day/
     Year)		  3. Trans- 
   action
   Code



  4. Securities Acquired (A) 
   or Disposed of (D)



_________________________
   Amount  |    A/D    |      Price   		  5. Amount of     
   Securities
   Beneficially
   Owned at
   End of Year

 

  6. Ownership 
      Form:
      Direct
     (D) or
     Indirect (I)
   
  7. Nature  
     of Indirect
     Beneficial
     Ownership

 

TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned

 1.  Title of Derivative Security          










  2. Conver-
   sion or  
   Exercise  
   Price of  
   Deri-  
   vative  
   Security  




  3. Trans- 
   action
   Date

  (Month/ 
  Day/
  Year)




  4. Trans-
   action
   Code








  5. Number of Deriv- 
   ative Securities   
   Acquired (A) or
   Disposed of (D)






________________
      (A)      |      (D)		  6. Date Exer-
   cisable and   
   Expiration Date 
   (Month/Day/
   Year)



________________
 Date       |  Expira- 
 Exer-      |  tion 
 cisable    |  Date 		  7. Title and Amount of   
   Underlying Securities
 





_____________________
                     |  Amount or 
      Title         |  Number of
                     |  Shares 		  8. Price   
   of of
   Deriv-
   ative  
   Secur- 
   ity





  9. Number  
   of deriv- 
   ative
   Secur-  
   ities 
   Bene-
   ficially  
   Owned 
   at End
   of  
   Year 
  10. Owner-
   ship 
   Form of 
   Deriv-  
   ative 
   Security: 
   Direct  
   (D) or 
   Indirect
   (I)  

  11. Nature  
   of
   Indirect 
   Benefi-
   cial 
   Owner- 
   ship  
EMPLOYEE STOCK OPTION (RIGHT TO PURCHASE STOCK) (1)

$0.2400

11/26/02

A

10,000

11/26/02

11/26/12

 COMMON STOCK

10,000

10,000

D
EMPLOYEE STOCK OPTION (RIGHT TO PURCHASE STOCK) (2)

$1.145833

6/25/02

H

24,000

6/25/92

6/25/02

 COMMON STOCK

24,000

0

D

 
EXPLANATION OF RESPONSES
(1) Employee Stock Option issued in conjunction with the Company's Stock Option Exchange Program
(2) Expiration for no value, exempt under rule 16b-6(d)
SIGNATURE OF REPORTING PERSON
/s/ Jeffrey A. Farnsworth

DATE
02/11/2003
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