0000814676-13-000027.txt : 20130528 0000814676-13-000027.hdr.sgml : 20130527 20130528164644 ACCESSION NUMBER: 0000814676-13-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130523 FILED AS OF DATE: 20130528 DATE AS OF CHANGE: 20130528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adams Richard W CENTRAL INDEX KEY: 0001532149 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16088 FILM NUMBER: 13875628 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2013-05-23 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 2013-05-23 4 M 0 130000 0.31 A 202000 D Common Stock 2013-05-23 4 F 0 25187 1.6 D 176813 D Common Stock 0.31 2013-05-23 4 M 0 26000 0.31 D 2004-05-29 2013-05-29 Common Stock 26000 331000 D Common Stock 0.31 2013-05-23 4 M 0 26000 0.31 D 2005-05-29 2013-05-29 Common Stock 26000 305000 D Common Stock 0.31 2013-05-23 4 M 0 78000 0.31 D 2005-12-20 2013-05-29 Common Stock 78000 227000 D The reporting person exercised options to acquire 130000 shares and used the "net exercise" mechanism to pay the exercise price by forfeiting 25187 shares. The closing stock price on the exercise date was $1.60. Richard W. Adams 2013-05-28