Guida R Sajdak Form 4 CHICOPEE BANCORP / Guida R Sajdak ownership change

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

OMB APPROVAL

OMB Number:	3235-0287
Estimated average burden
hours per response:	0.5

X

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^*

Sajdak Guida R

(Last) (First) (Middle)

70 CENTER STREET

(Street)

CHICOPEE MA 01013

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
CHICOPEE BANCORP, INC. [ CBNK ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
SVP and CFO

3. Date of Earliest Transaction (Month/Day/Year)
10/21/2016

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	10/21/2016		J		1,100	D	(1)	0	D
Common Stock	10/21/2016		J		3,180	D	(1)	0	I	By 401(k)
Common Stock	10/21/2016		J		7,027	D	(1)	0	I	By ESOP
Common Stock	10/21/2016		J		200	D	(1)	0	I	By Son

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
Stock Options	$16.55	10/21/2016		J			15,000	01/22/2014	01/22/2023	Common Stock	15,000	(2)	0	D
Stock Options	$14.1	10/21/2016		J			3,000	02/03/2012	02/03/2021	Common Stock	3,000	(2)	0	D
Stock Options	$14.21	10/21/2016		J			6,000	01/25/2013	01/25/2022	Common Stock	6,000	(2)	0	D
Stock Options	$14.29	10/21/2016		J			15,000	07/26/2008	07/26/2017	Common Stock	15,000	(2)	0	D
Stock Options	$12.41	10/21/2016		J			3,000	12/10/2010	12/10/2019	Common Stock	3,000	(2)	0	D

Explanation of Responses:

1. Each share of common stock was converted into and became exchangeable for the right to receive 2.425 shares of Westfield Financial, Inc. common stock.

2. Each option was converted into an option to purchase a number of shares of Westfield Financial, Inc. common stock determined by multiplying the number of shares of Chicopee Bancorp, Inc. common stock subject to such stock option by 2.425, at a per share exercise price equal to the quotient obtained by dividing the per share exercise price for each share of Chicopee Bancorp, Inc. common stock subject to such option by 2.425.

	/s/ Guida Sadjak, pursuant to Power of Attorney	10/21/2016
	** 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.