0001064900-15-000003.txt : 20150609
0001064900-15-000003.hdr.sgml : 20150609
20150609101419
ACCESSION NUMBER: 0001064900-15-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150602
FILED AS OF DATE: 20150609
DATE AS OF CHANGE: 20150609
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: INTEGRATED BIOPHARMA INC
CENTRAL INDEX KEY: 0001016504
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 222407475
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 225 LONG AVENUE
STREET 2: PO BOX 278
CITY: HILLSIDE
STATE: NJ
ZIP: 07205
BUSINESS PHONE: 9739260816
MAIL ADDRESS:
STREET 1: 225 LONG AVENUE
STREET 2: PO BOX 278
CITY: HILLSIDE
STATE: NJ
ZIP: 07205
FORMER COMPANY:
FORMER CONFORMED NAME: INTEGRATED HEALTH TECHNOLOGIES INC
DATE OF NAME CHANGE: 20020912
FORMER COMPANY:
FORMER CONFORMED NAME: CHEM INTERNATIONAL INC
DATE OF NAME CHANGE: 19960716
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RIVA SHEPPARD
CENTRAL INDEX KEY: 0001064900
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31668
FILM NUMBER: 15919985
MAIL ADDRESS:
STREET 1: C/O 225 LONG AVENUE
CITY: HILLSIDE
STATE: NJ
ZIP: 07205
FORMER NAME:
FORMER CONFORMED NAME: RIVA KAY
DATE OF NAME CHANGE: 19980624
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-06-02
0
0001016504
INTEGRATED BIOPHARMA INC
INBP.OB
0001064900
RIVA SHEPPARD
C/O 225 LONG AVENUE
HILLSIDE
NJ
07205
1
1
0
0
EXECUTIVE VICE PRESIDENT
STOCK OPTION (RIGHT TO BUY)
0.09
2015-06-02
4
A
0
250000
0
A
2025-06-02
COMMON STOCK
250000
250000
D
(1) The option vests 75% (187,500) on grant date (June 2, 2015) and in three equal annual installments for the remaining 25% (62,500) beginning on June 2, 2016.
/S/ RIVA SHEPPARD
2015-06-09