0001102948-16-000003.txt : 20161122 0001102948-16-000003.hdr.sgml : 20161122 20161122162816 ACCESSION NUMBER: 0001102948-16-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161118 FILED AS OF DATE: 20161122 DATE AS OF CHANGE: 20161122 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: BUILDING 15 CITY: HILLSIDE STATE: NJ ZIP: 07205 BUSINESS PHONE: 9739260816 MAIL ADDRESS: STREET 1: 225 LONG AVENUE STREET 2: BUILDING 15 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: DESANTIS CARL CENTRAL INDEX KEY: 0001102948 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31668 FILM NUMBER: 162013505 MAIL ADDRESS: STREET 1: C/O CDS INTERNATIONAL HOLDINGS STREET 2: 3299 NW SECOND AVE CITY: BOCA RATON STATE: FL ZIP: 33431 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-11-18 0 0001016504 INTEGRATED BIOPHARMA INC inpb.ob 0001102948 DESANTIS CARL C/O CDS INTERNATIONAL HOLDINGS 3299 NW SECOND AVE BOCA RATON FL 33431 1 0 1 0 Stock Option (right to buy) 0.25 2016-11-18 2016-11-21 4 A 0 50000 0 A 2026-11-18 Common Stock 50000 50000 D The option vests 5/12ths (20,831) on grant date (November 18, 2016) and in 7 monthly installments for the remaining 7/12ths (29,169) beginning on December 1, 2016. /s/ Carl DeSantis 2016-11-22