0001806637-23-000027.txt : 20230808 0001806637-23-000027.hdr.sgml : 20230808 20230808113640 ACCESSION NUMBER: 0001806637-23-000027 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230804 FILED AS OF DATE: 20230808 DATE AS OF CHANGE: 20230808 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Soulsby Kevin CENTRAL INDEX KEY: 0001503453 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26946 FILM NUMBER: 231149981 MAIL ADDRESS: STREET 1: 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 3 1 edgardoc.xml PRIMARY DOCUMENT X0206 3 2023-08-04 0 0001001902 INTEVAC INC IVAC 0001503453 Soulsby Kevin 501 KIRKWOOD COURT EL DORADO HILLS CA 95762 0 1 0 0 Chief Financial Officer, Common Stock 4619 D Common Stock 33651 I by Trust Non-Qualified Stock Option (right to buy) 5.68 2023-08-04 2026-05-16 Common Stock 2500 D Non-Qualified Stock Option (right to buy) 12.75 2023-08-04 2024-05-18 Common Stock 2500 D The number of shares includes 4,619 restricted stock units of which 2,606 RSUs vest on 5/15/2024 and 2,013 RSUs vest on 5/15/2025 By: Diane Garibaldi For: Kevin Soulsby 2023-08-08