0001503453-11-000030.txt : 20110523 0001503453-11-000030.hdr.sgml : 20110523 20110523160953 ACCESSION NUMBER: 0001503453-11-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110519 FILED AS OF DATE: 20110523 DATE AS OF CHANGE: 20110523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FAIRBAIRN KEVIN CENTRAL INDEX KEY: 0001237232 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 11865145 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0303 4 2011-05-19 0 0001001902 INTEVAC INC IVAC 0001237232 FAIRBAIRN KEVIN 3560 BASSETT STREET SANTA CLARA CA 95054 1 1 0 0 President & CEO Non-Qualified Stock Option (right to buy) 11.33 2011-05-19 4 A 0 75000 11.33 A 2012-05-19 2018-05-19 Common Stock 75000 75000 D The option will vest and become exercisable in four successive equal installments upon the optionee's completion of each year of service over the four-year period measured from the grant date. By: Kevin Soulsby For: Kevin P. Fairbairn 2011-05-23