0000814676-21-000056.txt : 20210517 0000814676-21-000056.hdr.sgml : 20210517 20210517102612 ACCESSION NUMBER: 0000814676-21-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210513 FILED AS OF DATE: 20210517 DATE AS OF CHANGE: 20210517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Griffith Charles Kellogg Jr CENTRAL INDEX KEY: 0001775557 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36807 FILM NUMBER: 21928346 MAIL ADDRESS: STREET 1: 111 SOUTH WORCESTER STREET 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: 1225 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 2021-05-13 0 0000814676 CPS TECHNOLOGIES CORP/DE/ CPSH 0001775557 Griffith Charles Kellogg Jr 111 SOUTH WORCESTER STREET NORTON MA 02766 0 1 0 0 Chief Financial Officer Common Stock Options 5.11 2021-05-13 4 A 0 1000 5.11 A 2022-05-13 2031-05-13 Common Stock 1000 68000 D Common Stock Options 5.11 2021-05-13 4 A 0 1000 5.11 A 2023-05-13 2031-05-13 Common Stock 1000 69000 D Common Stock Options 5.11 2021-05-13 4 A 0 1000 5.11 A 2024-05-13 2031-05-13 Common Stock 1000 70000 D Common Stock Options 5.11 2021-05-13 4 A 0 1000 5.11 A 2025-05-13 2031-05-13 Common Stock 1000 71000 D Common Stock Options 5.11 2021-05-13 4 A 0 1000 5.11 A 2026-05-13 2031-05-13 Common Stock 1000 72000 D Charles K Griffith 2021-05-17