0001345281-23-000004.txt : 20230921
0001345281-23-000004.hdr.sgml : 20230921
20230921105142
ACCESSION NUMBER: 0001345281-23-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230920
FILED AS OF DATE: 20230921
DATE AS OF CHANGE: 20230921
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: 231268181
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
X0508
4
2023-09-20
0
0001016504
INTEGRATED BIOPHARMA INC
INBP
0001345281
Masi Dina
14 LEXINGTON WAY
LONG VALLEY
NJ
07853
0
1
0
0
Chief Financial Officer
0
Common Stock
2023-09-20
2023-09-20
4
A
0
50000
0.09
A
147200
D
Stock Option (right to buy)
0.09
2023-09-20
2023-09-20
4
D
0
50000
0.09
D
2015-06-02
2025-06-02
Common Stock
50000
576667
D
50,000 common stock shares acquired upon exercise of stock option grant dated June 2, 2015.
50,000 stock options disposed of upon exercise of the portion of a stock option grant dated June 2, 2015. 200,000 stock options for the right to purchase common stock at $0.09 remain available to exercise.
/s/ Dina L Masi
2023-09-21