0001399554-11-000001.txt : 20111220 0001399554-11-000001.hdr.sgml : 20111220 20111220134212 ACCESSION NUMBER: 0001399554-11-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111216 FILED AS OF DATE: 20111220 DATE AS OF CHANGE: 20111220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Becker Jeffery Jay CENTRAL INDEX KEY: 0001399554 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12728 FILM NUMBER: 111271592 MAIL ADDRESS: STREET 1: 49113 WIXOM TECH DR. CITY: WIXOM STATE: MI ZIP: 48393 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRAL VISION INC CENTRAL INDEX KEY: 0000719152 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 382191935 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 49113 WIXOM TECH DRIVE CITY: WIXOM STATE: MI ZIP: 48393 BUSINESS PHONE: 2486689230 MAIL ADDRESS: STREET 1: 49113 WIXOM TECH DRIVE CITY: WIXOM STATE: MI ZIP: 48393 FORMER COMPANY: FORMER CONFORMED NAME: MEDAR INC DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2011-12-16 0 0000719152 INTEGRAL VISION INC invi 0001399554 Becker Jeffery Jay 49113 WIXOM TECH DR. WIXOM MI 48393 0 1 0 0 Senior Vice President Stock Option 0.016 2011-12-16 4 A 0 750000 0.016 A 2011-12-16 2021-12-15 Common Stock 750000 1609542 D Subject to shareholder ratification of modification to 2008 Equity Incentive Plan and shareholder approval of increase in authorized common shares to at least 120,000,000. Jeffrey Jay Becker 2011-12-20