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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
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*
KIELY JOHN R III

(Last) (First) (Middle)
17817 DAVIS ROAD

(Street)
DUNDEE MI 48131

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTEGRAL VISION INC [ INVI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/15/2008
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 2,211,988 D
common stock 1,291,693 I Trustee(1)
common stock 09/15/2008 J(2) 1,500 D (2) 0 I Custodian for my two children
common stock 10,200 I Co-Trustee Michael Kiely Trust
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
warrants $0.25(3) 09/15/2008(4) A 156,281 09/15/2008 07/30/2011 common 156,281 $0.00(5) 156,281 D
warrants $0.25(3) 09/15/2008(6) A 191,733 09/15/2008 01/02/2012 common 191,733 $0.00(5) 348,014 D
convertible note $0.25 09/15/2008 A $608,668 09/15/2008 07/01/2010 common 2,434,672 $0.00(7) 2,782,686 D
warrants $0.25(8) 04/13/2005 04/13/2009 common 114,684 114,684 I Trustee(1)
warrants $0.25(3) 09/15/2008(4) A 67,730 09/15/2008 07/30/2011 common 67,730 $0.00(5) 182,414 I Trustee(1)
warrants $0.25(3) 09/15/2008(6) A 180,048 09/15/2008 01/02/2012 common 180,048 $0.00(5) 362,462 I Trustee(1)
convertible note $0.25 09/15/2008 A $551,598 09/15/2008 07/01/2010 common 2,206,392 $0.00(9) 2,568,854 I Trustee(1)
Explanation of Responses:
1. Trustee means Trustee of the John R. & Margaret Lee Kiely 1979 Trust
2. Custodial relationship lapsed when my two children reached age 21 in May 2003 and October 2007 respectively
3. exercise price of warrants lowered from $1.60 per share to $0.25 per share effective September 15, 2008
4. warrants issued July 30, 2007 -- but were blocked from exercise until September 15, 2008
5. warrants were acquired in conjunction with a note of issuer
6. warrants issued January 2, 2008 -- but were blocked from exercise until September 15, 2008
7. convertible note acquired in exchange for other short term secured notes of issuer (principal value $575,750 plus $32,918 accured interest due thereon)
8. exercise price lowered from $1.00 per share to $0.25 per share September 15, 2008
9. convertible note acquired in exchange for other short term secured notes of issuer (principal value $524,250 plus $27,348 accrued interest due thereon)
Remarks:
JOHN R. KIELY, III 09/17/2008
** 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.