0001503453-11-000018.txt : 20110523 0001503453-11-000018.hdr.sgml : 20110523 20110523155947 ACCESSION NUMBER: 0001503453-11-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110519 FILED AS OF DATE: 20110523 DATE AS OF CHANGE: 20110523 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEVAC INC CENTRAL INDEX KEY: 0001001902 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559] IRS NUMBER: 943125814 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 356O BASSETT ST CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 4089869888 MAIL ADDRESS: STREET 1: 3560 BASSETT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: POND NORMAN H CENTRAL INDEX KEY: 0001008374 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 11865040 MAIL ADDRESS: STREET 1: C/O INTEVAC INC STREET 2: 3650 BASSETT ST CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2011-05-19 0 0001001902 INTEVAC INC IVAC 0001008374 POND NORMAN H 3560 BASSETT STREET SANTA CLARA CA 95054 1 1 0 0 Chairman of the Board Non-Qualified Stock Option (right to buy) 11.33 2011-05-19 4 A 0 12000 11.33 A 2012-05-19 2018-05-19 Common Stock 12000 12000 D By: Kevin Soulsby For: Norman Pond 2011-05-23