0000814676-12-000005.txt : 20120109 0000814676-12-000005.hdr.sgml : 20120109 20120109192443 ACCESSION NUMBER: 0000814676-12-000005 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120109 FILED AS OF DATE: 20120109 DATE AS OF CHANGE: 20120109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adams Richard W CENTRAL INDEX KEY: 0001532149 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16088 FILM NUMBER: 12518528 MAIL ADDRESS: STREET 1: 111 S. WORCESTER ST. CITY: NORTON STATE: MA ZIP: 02766 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CPS TECHNOLOGIES CORP/DE/ CENTRAL INDEX KEY: 0000814676 STANDARD INDUSTRIAL CLASSIFICATION: POTTERY & RELATED PRODUCTS [3260] IRS NUMBER: 042832509 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 SOUTH WORCESTER STREET CITY: NORTON STATE: MA ZIP: 02766 BUSINESS PHONE: 508-222-0614 MAIL ADDRESS: STREET 1: 111 SOUTH WORCESTER STREET CITY: NORTON STATE: MA ZIP: 02766 FORMER COMPANY: FORMER CONFORMED NAME: CERAMICS PROCESS SYSTEMS CORP/DE/ DATE OF NAME CHANGE: 19920703 3 1 primary_doc.xml PRIMARY DOCUMENT X0204 3 2012-01-09 0 0000814676 CPS TECHNOLOGIES CORP/DE/ cpsh 0001532149 Adams Richard W 111 S. WORCESTER ST. NORTON MA 02766 0 1 0 0 Senior Vice-President & CTO Common Stock 72000 D Stock Options 0.31 2004-05-29 2013-05-29 Common Stock 26000 D Stock Options 0.31 2005-05-29 2013-05-29 Common Stock 26000 D Stock Options 0.31 2005-12-20 2013-05-29 Common Stock 78000 D Stock Options 0.65 2005-10-12 2014-10-14 Common Stock 8150 D Stock Options 0.65 2005-12-20 2014-10-14 Common Stock 32600 D Stock Options 1.53 2011-07-07 2020-07-07 Common Stock 30250 D Stock Options 1.53 2012-07-07 2020-07-07 Common Stock 30250 D Stock Options 1.53 2013-07-07 2020-07-07 Common Stock 30250 D Stock Options 1.53 2014-07-07 2020-07-07 Common Stock 30250 D Stock Options 1.53 2015-07-07 2020-07-07 Common Stock 30250 D Richard W. Adams 2012-01-09