SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2
INTEVAC, INC.
(NAME OF ISSUER)
COMMON STOCK
(TITLE OF CLASS OF SECURITIES)
461148 10 8
(CUSIP NUMBER)
CHECK THE FOLLOWING BOX IF A FEE IS BEING PAID WITH THIS STATEMENT [ ]. (A FEE IS NOT REQUIRED IF THE FILING PERSON: (1) HAS A PREVIOUS STATEMENT ON FILE REPORTING BENEFICIAL OWNERSHIP OF MORE THAN FIVE PERCENT OF THE CLASS OF SECURITIES DESCRIBED IN ITEM 1; AND (2) HAS FILED NO AMENDMENT SUBSEQUENT THERETO REPORTING BENEFICIAL OWNERSHIP OF FIVE PERCENT OR LESS OF SUCH CLASS.) (SEE RULE 13D-7).
(CONTINUED ON FOLLOWING PAGE(S))
(Page 1 of 5 Pages)
CUSIP NO. 461148 10 8 13G Page 2 of 5 Pages 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS NORMAN H. POND 000-00-0000 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA 5 SOLE VOTING POWER NUMBER 0 OF SHARES BENEFICIALLY OWNED BY REPORTING PERSON WITH 6 SHARED VOTING POWER 954,500 SHARES OF COMMON STOCK 7 SOLE DISPOSITIVE POWER 0 8 SHARED DISPOSITIVE POWER 954,500 SHARES OF COMMON STOCK 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 954,500 SHARES OF COMMON STOCK 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.7% AS OF DECEMBER 31, 1996 12 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLING OUT! |
Page 3 of 5 Pages
ITEM 1(a) NAME OF ISSUER:
Intevac, Inc.
ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
3550 Bassett Street
Santa Clara, CA 95054-2704
ITEM 2(a) NAME OF PERSON FILING:
Norman H. Pond
ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE,
RESIDENCE:
11635 Jessica Lane
Los Altos, CA 94024
ITEM 2(c) CITIZENSHIP:
USA
ITEM 2(d) TITLE OF CLASS OF SECURITIES:
Common Stock
ITEM 2(e) CUSIP NUMBER:
461148 10 8
Page 4 of 5 Pages
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES
13D-1(b) OR 13D-2(b), CHECK WHETHER THE PERSON FILING
IS A:
Not Applicable
ITEM 4. OWNERSHIP.
(a) Amount Beneficially Owned: See Row 9 of cover page.
(b) Percent of Class: See Row 11 of cover page.
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: See Row 5 of cover page.
(ii) shared power to vote or to direct the vote: See Row 6 of cover page.
(iii) sole power to dispose or to direct the disposition of: See Row 7 of cover page.
(iv) shared power to dispose or to direct the disposition of: See Row 8 of cover page.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
Not Applicable
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF
ANOTHER PERSON.
Not Applicable
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY
WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE
PARENT HOLDING COMPANY.
Not Applicable
Page 5 of 5 Pages
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE
GROUP.
Not Applicable
ITEM 9. NOTICE OF DISSOLUTION OF GROUP.
Not Applicable
ITEM 10. CERTIFICATION.
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 14, 1997 Signature: /s/ Normon H. Pond --------------------------------- Norman H. Pond |