0001437749-11-009412.txt : 20111212 0001437749-11-009412.hdr.sgml : 20111212 20111212131424 ACCESSION NUMBER: 0001437749-11-009412 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111209 FILED AS OF DATE: 20111212 DATE AS OF CHANGE: 20111212 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: 111255699 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 2011-12-09 0000758938 QUALSTAR CORP QBAK 0001135091 GERVAIS WILLIAM J 3990-B HERITAGE OAK CT. SIMI VALLEY CA 93063 1 1 1 President & CEO Common stock 2011-12-09 2011-12-09 4 P 0 63000 1.80330 A 3171364 D Common stock 136000 I Self through IRA /s/ William J. Gervais 2011-12-12