0001014108-21-000169.txt : 20210830
0001014108-21-000169.hdr.sgml : 20210830
20210830154824
ACCESSION NUMBER: 0001014108-21-000169
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210827
FILED AS OF DATE: 20210830
DATE AS OF CHANGE: 20210830
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bertelsen Jeffrey A.
CENTRAL INDEX KEY: 0001184340
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16577
FILM NUMBER: 211223437
MAIL ADDRESS:
STREET 1: 5900 GOLDEN HILLS DRIVE
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
FORMER NAME:
FORMER CONFORMED NAME: BERTELSEN JEFFREY A
DATE OF NAME CHANGE: 20020829
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CYBEROPTICS CORP
CENTRAL INDEX KEY: 0000768411
STANDARD INDUSTRIAL CLASSIFICATION: OPTICAL INSTRUMENTS & LENSES [3827]
IRS NUMBER: 411472057
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5900 GOLDEN HILLS DR
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
BUSINESS PHONE: 763-542-5000
MAIL ADDRESS:
STREET 1: 5900 GOLDEN HILLS DR
CITY: GOLDEN VALLEY
STATE: MN
ZIP: 55416
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-08-27
0
0000768411
CYBEROPTICS CORP
CYBE
0001184340
Bertelsen Jeffrey A.
5900 GOLDEN HILLS DRIVE
GOLDEN VALLEY
MN
55416
0
1
0
0
CFO and COO
Common Stock
27444
D
Common Stock
2021-08-27
4
M
0
14500
9.62
A
105540
I
By Trust
Common Stock
2021-08-27
4
F
0
6708
42.62
D
98832
I
By Trust
Employee Stock Option
9.62
2021-08-27
4
M
0
14500
0
D
2015-12-05
2021-12-05
Common Stock
14500
0
D
Employee Stock Option
7.18
2016-12-11
2022-12-11
Common Stock
26000
26000
D
Employee Stock Option
26.4
2017-12-09
2023-12-09
Common Stock
5500
5500
D
Employee Stock Option
15.4
2018-12-08
2024-12-08
Common Stock
9200
9200
D
Employee Stock Option
19.46
2019-12-07
2025-12-07
Common Stock
7400
7400
D
Employee Stock Option
16.23
2020-12-06
2026-12-06
Common Stock
10000
10000
D
Employee Stock Option
28.32
2021-12-04
2027-12-04
Common Stock
6000
6000
D
Shares are held in a revocable trust of which the reporting person and his spouse are trustees.
Represents shares surrendered to CyberOptics Corp by the Reporting Person to satisfy the exercise price and tax withholding obligations upon exercise of a stock option granted December 5, 2014.
Fully exercisable.
Exercisable with respect to 25% of such shares on such date and with respect to an additional cumulative 25% of such shares on the next three anniversaries of such date.
/s/ Jeffrey A. Bertelsen
2021-08-30