0001503453-17-000045.txt : 20170519 0001503453-17-000045.hdr.sgml : 20170519 20170519165731 ACCESSION NUMBER: 0001503453-17-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170517 FILED AS OF DATE: 20170519 DATE AS OF CHANGE: 20170519 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: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3560 BASSETT STREET 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: DURY DAVID S CENTRAL INDEX KEY: 0001237883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 17858627 MAIL ADDRESS: STREET 1: C/O INTEVAC INC STREET 2: 3560 BASSETT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2017-05-17 0 0001001902 INTEVAC INC IVAC 0001237883 DURY DAVID S 3560 BASSETT STREET SANTA CLARA CA 95054 1 0 0 0 Non-Qualified Stock Option (right to buy) 13.1 2017-05-17 4 A 0 13000 0.0 A 2018-04-17 2024-05-17 Common Stock 13000 13000 D The option will vest and become exercisable upon the Reporting Person's completion of 11 months of service measured from the grant date. By: Kevin Soulsby For: David S. Dury 2017-05-18