-----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, MjiqakyqoeoNZ1l8vapsCfs9agE5gOdFp8hHrHEMNgMSVvGMPsxWYuz0Bnlrw+Vg b833uh67B26vc3OhHA2z0w== 0000910680-08-000867.txt : 20081231 0000910680-08-000867.hdr.sgml : 20081231 20081231155228 ACCESSION NUMBER: 0000910680-08-000867 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081229 FILED AS OF DATE: 20081231 DATE AS OF CHANGE: 20081231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAW JEROME CENTRAL INDEX KEY: 0001007671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 081278961 BUSINESS ADDRESS: STREET 1: C/O VOLT INFORMATION SCIENCES INC STREET 2: 1221 AVE OF THE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10020-1579 BUSINESS PHONE: 2127042435 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: VOLT INFORMATION SCIENCES, INC. CENTRAL INDEX KEY: 0000103872 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 135658129 STATE OF INCORPORATION: NY FISCAL YEAR END: 1028 BUSINESS ADDRESS: STREET 1: 560 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022-2928 BUSINESS PHONE: 2127042400 MAIL ADDRESS: STREET 1: 560 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10022-2928 FORMER COMPANY: FORMER CONFORMED NAME: VOLT INFORMATION SCIENCES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: VOLT TECHNICAL CORP DATE OF NAME CHANGE: 19680913 4 1 f4jshaw-12292008_ex.xml DECEMBER 29, 2008 X0303 4 2008-12-29 0 0000103872 VOLT INFORMATION SCIENCES, INC. VOL 0001007671 SHAW JEROME C/O VOLT INFORMATION SCIENCES, INC. 2401 NORTH GLASSELL STREET ORANGE CA 92865 0 1 1 0 EXECUTIVE V.P. AND SECRETARY Common Stock, $.10 par value 2008-12-29 4 J 0 10112 0 D 2691747 D Common Stock, $.10 par value 12750 I By Family Foundation Common Stock, $.10 par value 3127.089 I By ESOP Common Stock, $.10 par value 25121.378 I By 401(k) Plan Common Stock, $.10 par value 354375 I As Trustee Common Stock, $.10 par value 9825 I By Spouse Represents 2,600 shares distributed to Rachel Shaw, the reporting person's daughter, 2,600 shares distributed to Steven Shaw, the reporting person's son, and 4,912 shares distributed to Steven Shaw as trustee of trusts held for the benefit of the reporting person's grandsons. Includes 3,964 shares owned directly and 2,687,783 shares owned by the reporting person as trustee under six trusts for the reporting person's benefit. Held by a family foundation of which the reporting person is a director. The filing of this statement shall not be construed as an admission that the reporting person is, for the purpose of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of these securities. Held in the reporting person's Employee Stock Ownership Plan account in the Company Savings Plan as of December 30, 2008, the latest date as of which information is available. Held in the reporting person's Stock Fund under the reporting person's 401(k) Plan account in the Company Savings Plan as of December 30, 2008, the latest date as of which information is available. Held by the reporting person and his wife as trustees of a trust for the benefit of the daughter of the reporting person. Held by the reporting person's spouse. /s/ Jerome Shaw 2008-12-31 -----END PRIVACY-ENHANCED MESSAGE-----