Sec Form 4 Filing - WAGNER WILLIAM J @ CHICOPEE BANCORP, INC. - 2016-10-21

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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
WAGNER WILLIAM J
2. Issuer Name and Ticker or Trading Symbol
CHICOPEE BANCORP, INC. [ CBNK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman, President and CEO
(Last) (First) (Middle)
70 CENTER STREET
3. Date of Earliest Transaction (MM/DD/YY)
10/21/2016
(Street)
CHICOPEE, MA01013
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 43,320 D 0 D
Common Stock 10/21/2016 J 6,450 D 0 I By IRA
Common Stock 10/21/2016 J 100 D 0 I By Spouse's IRA
Common Stock 10/21/2016 J 16,996 D 0 I By SERP
Common Stock 10/21/2016 J 12,821 D 0 I By ESOP
Common Stock 10/21/2016 J 14,945 D 0 I By 401(k)
Common Stock 10/21/2016 J 570 D 0 I By Daughter 1
Common Stock 10/21/2016 J 590 D 0 I By Daughter 2
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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 30,000 01/22/2014 01/22/2023 Common Stock 30,000 ( 2 ) 0 D
Stock Options $ 14.21 10/21/2016 J 20,000 01/25/2013 01/25/2022 Common Stock 20,000 ( 2 ) 0 D
Stock Options $ 14.29 10/21/2016 J 133,908 07/26/2008 07/26/2017 Common Stock 133,908 ( 2 ) 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
WAGNER WILLIAM J
70 CENTER STREET
CHICOPEE, MA01013
X Chairman, President and CEO
Signatures
/s/ Guida Sajdak, pursuant to Power of Attorney 10/21/2016
Signature of Reporting Person Date
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.

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).

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