-----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, GpFEJNgN7ZgSu5P/tAa7rVdt5PPpH0SgptrgE4JD1lRWRev5Y/bB3aPjnIdCZdKi Bv4feSMr6G4EJBGrq+idYg== 0001040989-04-000001.txt : 20040129 0001040989-04-000001.hdr.sgml : 20040129 20040129144350 ACCESSION NUMBER: 0001040989-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040129 FILED AS OF DATE: 20040129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZEL BERNARD CENTRAL INDEX KEY: 0001040989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27460 FILM NUMBER: 04551943 BUSINESS ADDRESS: STREET 1: 1 WOODBURY PL CITY: ROCHESTER STATE: NY ZIP: 14618 MAIL ADDRESS: STREET 1: 1 WOODBURY PL CITY: ROCHESTER STATE: NY ZIP: 14618 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PERFORMANCE TECHNOLOGIES INC \DE\ CENTRAL INDEX KEY: 0001003950 STANDARD INDUSTRIAL CLASSIFICATION: PRINTED CIRCUIT BOARDS [3672] IRS NUMBER: 161158413 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 205 INDIGO CREEK DRIVE CITY: ROCHESTER STATE: NY ZIP: 14626 BUSINESS PHONE: 5852560200 MAIL ADDRESS: STREET 1: 205 INDIGO CREEK DRIVE STREET 2: 205 INDIGO CREEK DRIVE CITY: ROCHESTER STATE: NY ZIP: 14626 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-01-29 0 0001003950 PERFORMANCE TECHNOLOGIES INC \DE\ PTIX 0001040989 KOZEL BERNARD 205 INDIGO CREEK DRIVE ROCHESTER NY 14626 1 0 0 0 Common Stock, $.01 par value 2004-01-29 4 M 0 2250 10.25 A 230394 D Common Stock, $.01 par value 2004-01-29 4 M 0 2250 10.125 A 232644 D Common Stock, $.01 par value 2004-01-29 4 M 0 10000 8.6 A 242644 D Non-Statutory Stock Option (Right to Buy) 10.25 2004-01-29 4 M 0 2250 10.25 A 2000-06-08 2004-06-08 Common Stock, $.01 par value 2250 0 D Non-Statutory Stock Option (Right to Buy) 10.125 2004-01-29 4 M 0 2250 10.125 A 2001-05-31 2005-05-31 Common Stock, $.01 par value 2250 0 D Non-Statutory Stock Option (Right to Buy) 8.6 2004-01-29 4 M 0 10000 8.6 A 2003-06-04 2007-06-05 Common Stock, $.01 par value 10000 0 D 14,500 shares owned directly by Mr. Kozel. 39,000 shares are owned (indirect ownership by Mr. Kozel) by three family trusts. Mr. Kozel is Co-Grantor and Co-Trustee of the trusts and the beneficiaries of the trusts are Mr. Kozel's grandchildren. Mr. Kozel, as Co-Grantor and Co-Trustee, has voting and investment power over the trusts. 189,144 shares are owned (direct ownership) by the Kozel Holding Company, LLC. Mr. Kozel has 81.5% interest in, and voting and investment power over this company. by:/s/Donald L. Turrell, as power of attorney, on behalf of Bernard Kozel 2004-01-29 -----END PRIVACY-ENHANCED MESSAGE-----