Filing Details

Accession Number:
0001493152-16-015663
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-12-05 16:46:11
Reporting Period:
2016-12-01
Filing Date:
2016-12-05
Accepted Time:
2016-12-05 16:46:11
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
771999 Document Security Systems Inc DSS Paperboard Containers & Boxes (2650) 161229730
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1215183 B Robert Fagenson C/O Document Security Systems, Inc.
200 Canal View Blvd, Suite 300
Rochester NY 14623
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-12-01 1,653 $0.70 297,931 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 50,000 Indirect See Footnote
Footnotes
  1. Consists of 25,000 shares held by Mr. Fagenson's wife, and an aggregate of 25,000 shares held in trusts for Mr. Fagenson's two adult children. Mr. Fagenson disclaims beneficial ownership of these 50,000 shares.