0001806637-23-000012.txt : 20230303 0001806637-23-000012.hdr.sgml : 20230303 20230303182409 ACCESSION NUMBER: 0001806637-23-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230303 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAYES DOROTHY D CENTRAL INDEX KEY: 0001142619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 23706553 MAIL ADDRESS: STREET 1: P.O. BOX 7850 STREET 2: . CITY: MOUNTAIN VIEW STATE: CA ZIP: 94039-7850 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2023-03-03 0 0001001902 INTEVAC INC IVAC 0001142619 HAYES DOROTHY D 3560 BASSETT STREET SANTA CLARA CA 95054 1 0 0 0 Common Stock 2023-03-03 4 M 0 5000 4.71 A 35000 D Non-Qualified Stock Option (right to buy) 4.71 2023-03-03 4 M 0 5000 0.0 D 2020-06-20 2026-06-20 Common Stock 5000 20000 D Represents shares of Common Stock acquired upon the exercise of options in an exercise-and-hold transaction. The option will vest and become exercisable in two successive equal installments upon the optionee's completion of each year of service over the two-year period measured from the grant date. By: Diane Garibaldi For: Dorothy Hayes 2023-03-03