FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
VOLT INFORMATION SCIENCES, INC. [ VOL ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 04/07/2009 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, $0.10 par value | 1,912,557(1) | D | ||||||||
Common Stock, $0.10 par value | 110,766(2) | I | As Co-Executrix of the Estate of William Shaw(3) | |||||||
Common Stock, $0.10 par value | 31,154 | I | As Co-Trustee(3)(4) | |||||||
Common Stock, $0.10 par value | 19,244 | I | By Spouse(3)(5) | |||||||
Common Stock, $0.10 par value | 1,500 | I | By Spouse as Trustee(3)(6) | |||||||
Common Stock, $0.10 par value | 5,749 | I | As director(3)(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $6.39 | 04/07/2009 | A | 3,000 | (8) | 04/06/2019 | Common Stock, $.10 par value | 3,000 | $0 | 3,000 | I | By Spouse |
Explanation of Responses: |
1. Includes 110,766 shares owned by the Estate of William Shaw (the "Estate"). As co-executrix of the Estate, the reporting person may be deemed to directly beneficially own those shares of which she is the beneficiary. The reporting person's sister, Deborah Shaw, also has a beneficial interest in shares held by the Estate. Also includes 1,492,997 shares held in three trusts for the reporting person's benefit of which the reporting person is the sole trustee. |
2. Represents shares owned by the Estate of William Shaw which shares will ultimately be distributed to or for the benefit of Deborah Shaw, the reporting person's sister. |
3. The filing of this statement shall not be construed as an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of these securities. |
4. Held by the reporting person as co-trustee of trusts for the benefit of her children. Bruce Goodman, the reporting person's spouse, and Deborah Shaw, the reporting person's sister, are also co-trustees of these trusts. |
5. Includes 500 restricted shares as to which the restrictions generally lapse one-third each year. |
6. Held by the reporting person's spouse as trustee of an irrevocable trust for the benefit of his children. |
7. Held by the reporting person as a director of the William and Jacqueline Shaw Family Foundation, Inc. |
8. The option is exercisable in 20% annual increments over a 5 year period, with the initial increment being exercisable 1 year after the date of the grant. |
/s/ Timothy I. Kahler, Attorney-In-Fact | 04/15/2009 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |