0001345281-21-000001.txt : 20211103 0001345281-21-000001.hdr.sgml : 20211103 20211103183343 ACCESSION NUMBER: 0001345281-21-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211103 FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Masi Dina CENTRAL INDEX KEY: 0001345281 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31668 FILM NUMBER: 211377060 MAIL ADDRESS: STREET 1: 14 LEXINGTON WAY CITY: LONG VALLEY STATE: NJ ZIP: 07853 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-11-03 0 0001016504 INTEGRATED BIOPHARMA INC inbp 0001345281 Masi Dina 14 LEXINGTON WAY LONG VALLEY NJ 07853 0 1 0 0 Chief Financial Officer Stock Option (right to buy) 2021-11-03 4 A 0 65000 0 A 2031-11-03 Common Stock 65000 65000 D The Exercise Price of the Stock Option will be the closing prices of the Issuer's Common Stock five trading days after the filing of the Issuer's Quarterly Report on Form 10-Q for the period ended September 30, 2021, with the Securities and Exchange Commission. The option vests and becomes exercisable in three equal annual installments with the first installment vesting on November 3, 2022. /s/ Dina L Masi 2021-11-03