SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DESANTIS CARL

(Last) (First) (Middle)
C/O INTEGRATED BIOPHARMA, INC.
225 LONG AVENUE, BLDG 15

(Street)
HILLSIDE NJ 07205

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTEGRATED BIOPHARMA INC [ INBP.OB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/21/2008
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/21/2008 08/21/2008 J 50,000 A $0(1) 6,016,244 I See Note 1
Common Stock 11/21/2008 11/21/2008 J 50,000 A $0(2) 6,066,244 I See Note 2
Common Stock 02/21/2009 02/21/2009 J 50,000 A $0(3) 6,116,244 I See Note 3
Common Stock 04/06/2009 04/06/2009 P 87,111 A $0.53 6,203,355 D
Common Stock 05/21/2009 05/21/2009 J 50,000 A $0(4) 6,253,355 I See Note 4
Common Stock 08/21/2009 08/21/2009 J 50,000 A $0(5) 6,303,355(6) I See Note 5
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the second 90 day anniversary of the issuance of the convertible subordinated debt.
2. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the third 90 day anniversary of the issuance of the convertible subordinated debt.
3. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the forth 90 day anniversary of the issuance of the convertible subordinated debt.
4. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the fifth 90 day anniversary of the issuance of the convertible subordinated debt.
5. Common stock issuable to CD Financial, LLC of which Mr. DeSantis is the Manager on the sixth 90 day anniversary of the issuance of the convertible subordinated debt.
6. Includes (i) 819,629 shares owned by CDS Group Holdings, LLC, of which Mr. DeSantis is the manager; (ii) 2,250,000 shares of common stock issuable upon exercise of presently convertible subordinated debt of $4.5 million held by CD Financial, LLC of which Mr. DeSantis is the manager; and (iii) 54,500 shares of common stock issuable upon exercise of presently exercisable stock options. This number does not include 50,000 shares of common stock issuable to CD Financial, LLC upon the seventh 90 day anniversary of the issuance of the convertible subordinated debt on November 21, 2009 and
/s/ Carl DeSantis 10/28/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.