SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
RIVA KAY

(Last) (First) (Middle)
C/O INTEGRATED BIOPHARMA, INC.
225 LONG AVENUE

(Street)
HILLSIDE NJ 07205

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTEGRATED BIOPHARMA INC [ INB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
06/30/2007
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Options (Right to Buy) $1.5 10/07/1998 4A 66,666 10/07/1999 10/07/2008 Common Stock 66,666 (1) 716,666 D
Employee Stock Options (Right to Buy) $0.5 12/01/1999 4A 150,000 12/01/2000 12/01/2009 Common Stock 150,000 (1) 716,666 D
Employee Stock Options (Right to Buy) $0.75 12/19/2000 4A 100,000 12/19/2001 12/19/2010 Common Stock 100,000 (1) 716,666 D
Employee Stock Options (Right to Buy) $0.33 10/11/2002 4A 100,000 10/11/2003 10/11/2012 Common Stock 100,000 (1) 716,666 D
Employee Stock Options (Right to Buy) $9.9 12/04/2003 4A 100,000 12/04/2004 10/04/2013 Common Stock 100,000 (1) 716,666 D
Employee Stock Options (Right to Buy) $6.3 09/21/2004 4A 100,000 09/21/2005 09/21/2014 Common Stock 100,000 (1) 716,666 D
Explanation of Responses:
1. Granted to the Reporting Person in connection with the Reporting Person's service as a Vice President and a director of the Issuer.
/s/Riva Kay Sheppard 11/30/2006
** Signature of Reporting Person Date
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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.