-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TR71TNAhPUB9f8lSuEoK7heCENfCE7Ok8W3OXBB25YTSovk88WOsWbRWBPU12qez XDqz8l9KAGCx5ecBaTh8aQ== 0001016504-09-000027.txt : 20091028 0001016504-09-000027.hdr.sgml : 20091028 20091028164148 ACCESSION NUMBER: 0001016504-09-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080821 FILED AS OF DATE: 20091028 DATE AS OF CHANGE: 20091028 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DESANTIS CARL CENTRAL INDEX KEY: 0001102948 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31668 FILM NUMBER: 091142149 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRATED BIOPHARMA INC CENTRAL INDEX KEY: 0001016504 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 222407475 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 201 ROUTE 22 CITY: HILLSIDE STATE: NJ ZIP: 07205 BUSINESS PHONE: 9739260816 MAIL ADDRESS: STREET 1: 201 ROUTE 22 CITY: HILLSIDE STATE: NJ ZIP: 07205 FORMER COMPANY: FORMER CONFORMED NAME: INTEGRATED HEALTH TECHNOLOGIES INC DATE OF NAME CHANGE: 20020912 FORMER COMPANY: FORMER CONFORMED NAME: CHEM INTERNATIONAL INC DATE OF NAME CHANGE: 19960716 4 1 carldesantis_ex.xml X0303 4 2008-08-21 0 0001016504 INTEGRATED BIOPHARMA INC INBP.OB 0001102948 DESANTIS CARL C/O INTEGRATED BIOPHARMA, INC. 225 LONG AVENUE, BLDG 15 HILLSIDE NJ 07205 1 0 1 0 Common Stock 2008-08-21 2008-08-21 4 J 0 50000 0 A 6016244 I See Note 1 Common Stock 2008-11-21 2008-11-21 4 J 0 50000 0 A 6066244 I See Note 2 Common Stock 2009-02-21 2009-02-21 4 J 0 50000 0 A 6116244 I See Note 3 Common Stock 2009-04-06 2009-04-06 4 P 0 87111 .53 A 6203355 D Common Stock 2009-05-21 2009-05-21 4 J 0 50000 0 A 6253355 I See Note 4 Common Stock 2009-08-21 2009-08-21 4 J 0 50000 0 A 6303355 I See Note 5 Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the second 90 day anniversary of the issuance of the convertible subordinated debt. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the third 90 day anniversary of the issuance of the convertible subordinated debt. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the forth 90 day anniversary of the issuance of the convertible subordinated debt. Common stock issued to CD Financial, LLC of which Mr. DeSantis is the Manager on the fifth 90 day anniversary of the issuance of the convertible subordinated debt. Common stock issuable to CD Financial, LLC of which Mr. DeSantis is the Manager on the sixth 90 day anniversary of the issuance of the convertible subordinated debt. Includes (i) 819,629 shares owned by CDS Group Holdings, LLC, of which Mr. DeSantis is the manager; (ii) 2,250,000 shares of common stock issuable upon exercise of presently convertible subordinated debt of $4.5 million held by CD Financial, LLC of which Mr. DeSantis is the manager; and (iii) 54,500 shares of common stock issuable upon exercise of presently exercisable stock options. This number does not include 50,000 shares of common stock issuable to CD Financial, LLC upon the seventh 90 day anniversary of the issuance of the convertible subordinated debt on November 21, 2009 and /s/ Carl DeSantis 2009-10-28 -----END PRIVACY-ENHANCED MESSAGE-----