SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Bertelsen Jeffrey A.

(Last) (First) (Middle)
5900 GOLDEN HILLS DRIVE

(Street)
GOLDEN VALLEY MN 55416

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CYBEROPTICS CORP [ CYBE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CFO and COO
3. Date of Earliest Transaction (Month/Day/Year)
12/06/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/06/2019 A 5,000(1) A $0 14,325(2) D
Common Stock 87,931 I(3) In Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option $5.39 12/06/2014(4) 12/06/2020 Common Stock 16,750 16,750 D
Employee Stock Option $7.7 02/21/2015(4) 02/21/2021 Common Stock 10,000 10,000 D
Employee Stock Option $9.62 12/05/2015(4) 12/05/2021 Common Stock 18,500 18,500 D
Employee Stock Option $7.18 12/11/2016(5) 12/11/2022 Common Stock 26,000 26,000 D
Employee Stock Option $26.4 12/09/2017(5) 12/09/2023 Common Stock 5,500 5,500 D
Employee Stock Option $15.4 12/08/2018(5) 12/08/2024 Common Stock 9,200 9,200 D
Employee Stock Option $19.46 12/07/2019(5) 12/07/2025 Common Stock 7,400 7,400 D
Employee Stock Option $16.23 12/06/2019 M 10,000 12/06/2020(5) 12/06/2026 Common Stock 10,000 $0 10,000 D
Explanation of Responses:
1. Grant of restricted stock units.
2. Includes (a) 1,125 restricted stock units that vest on December 11, 2019; (b) 375 restricted stock units that vest on December 9, 2020; (c) 2,500 restricted stock units that vest in increments of 1,250 shares on each of December 8, 2020 and 2021; and (d) 2,775 restricted stock units that vest in increments of 925 shares on each of December 7, 2020, 2021 and 2022; and (e) 5,000 restricted stock units that vest in increments of 1,250 shares on each of December 6, 2020, 2021, 2022 and 2023.
3. Shares are held in a revocable trust of which the reporting person and his spouse are trustees.
4. Fully exercisable.
5. 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.
Jeffrey A. Bertelsen 12/09/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.