0001806637-22-000026.txt : 20221205 0001806637-22-000026.hdr.sgml : 20221205 20221205114837 ACCESSION NUMBER: 0001806637-22-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221201 FILED AS OF DATE: 20221205 DATE AS OF CHANGE: 20221205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DURY DAVID S CENTRAL INDEX KEY: 0001237883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 221444170 MAIL ADDRESS: STREET 1: C/O INTEVAC INC STREET 2: 3560 BASSETT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEVAC INC CENTRAL INDEX KEY: 0001001902 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559] IRS NUMBER: 943125814 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3560 BASSETT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 BUSINESS PHONE: 4089869888 MAIL ADDRESS: STREET 1: 3560 BASSETT STREET CITY: SANTA CLARA STATE: CA ZIP: 95054 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2022-12-01 0 0001001902 INTEVAC INC IVAC 0001237883 DURY DAVID S 3560 BASSETT STREET SANTA CLARA CA 95054 1 0 0 0 Common Stock 2022-12-01 4 M 0 13000 4.8 A 124000 D Common Stock 66000 I by Trust Non-Qualified Stock Option (right to buy) 4.8 2022-12-01 4 M 0 13000 0.0 D 2017-05-19 2023-05-19 Common Stock 13000 0 D Represents shares of Common Stock acquired upon the exercise of options in an exercise-and-hold transaction. By: Diane Garibaldi For: David Dury 2022-12-05