0001437749-11-006916.txt : 20110916 0001437749-11-006916.hdr.sgml : 20110916 20110916181428 ACCESSION NUMBER: 0001437749-11-006916 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110915 FILED AS OF DATE: 20110916 DATE AS OF CHANGE: 20110916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GERVAIS WILLIAM J CENTRAL INDEX KEY: 0001135091 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30083 FILM NUMBER: 111096140 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QUALSTAR CORP CENTRAL INDEX KEY: 0000758938 STANDARD INDUSTRIAL CLASSIFICATION: MAGNETIC & OPTICAL RECORDING MEDIA [3695] IRS NUMBER: 953927330 STATE OF INCORPORATION: CA FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 3990-B HERITAGE OAK COURT CITY: SIMI VALLEY STATE: CA ZIP: 93063 BUSINESS PHONE: 805-583-7744 MAIL ADDRESS: STREET 1: 3990-B HERITAGE OAK COURT CITY: SIMI VALLEY STATE: CA ZIP: 93063 4 1 rdgdoc.xml PRIMARY DOCUMENT X0304 4 2011-09-15 0000758938 QUALSTAR CORP QBAK 0001135091 GERVAIS WILLIAM J 3990-B HERITAGE OAK CT. SIMI VALLEY CA 93063 1 1 1 President & CEO Common stock 2011-09-15 2011-09-15 4 P 0 800 2.019 A 3107664 D Common stock 2011-09-15 2011-09-15 4 P 0 700 2.019 A 3108364 D Common stock 130000 I Self through IRA /s/ William J. Gervais 2011-09-16