-----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, WD+WXLbWdYfKwL0FenYfV8LAOkoLGwRaxEJBTDvmIKQe2v6fX9fuXXrMlhOfgKfw ndoLgexKBssKn67NEudg2Q== 0000910680-09-000351.txt : 20090713 0000910680-09-000351.hdr.sgml : 20090713 20090713192900 ACCESSION NUMBER: 0000910680-09-000351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090709 FILED AS OF DATE: 20090713 DATE AS OF CHANGE: 20090713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Deborah CENTRAL INDEX KEY: 0001366962 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 09942734 MAIL ADDRESS: STREET 1: 2908 MAPLE AVENUE CITY: MANHATTAN BEACH STATE: CA ZIP: 90266 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: 1101 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 f4shawd070909_ex.xml DEBORAH SHAW X0303 4 2009-07-09 0 0000103872 VOLT INFORMATION SCIENCES, INC. VOL 0001366962 Shaw Deborah 2908 MAPLE AVENUE MANHATTAN BEACH CA 90266 1 0 0 0 Common Stock, $0.10 par value 2009-07-09 4 G 0 18570 0 D 1840300 D Common Stock, $0.10 par value 2009-07-09 4 J 0 100975 0 D 9791 I As Co-Executrix of the Estate of William Shaw Common Stock, $0.10 par value 2009-07-09 4 G 0 7428 0 A 38582 I As Co-Trustee Common Stock, $0.10 par value 2009-07-09 4 G 0 14586 0 A 34316 I By Spouse as custodian Common Stock, $0.10 par value 71220 I As Custodian Common Stock, $0.10 par value 23893 I By Spouse Common Stock, $0.10 par value 5749 I As director Stock Option (Right to Buy) 6.39 2019-04-06 Common Stock, $.10 par value 3000 3000 D Includes 9,791 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, Linda Shaw, also has a beneficial interest in shares held by the Estate. Also includes 1,592,999 shares held in four trusts for the reporting person's benefit of which the reporting person is the sole trustee. Represents shares owned by the Estate which shares will ultimately be distributed to or for the benefit of Linda Shaw, the reporting person's sister. 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. Held by the reporting person as co-trustee of trusts for the benefit of the children of Linda Shaw, the reporting person's sister. Linda Shaw and Bruce Goodman, Linda Shaw's spouse, are also co-trustees of these trusts. Held by the reporting person's spouse as custodian under the California Uniform Transfers to Minors Act for the benefit of children of the reporting person. Held by the reporting person as custodian under the California Uniform Transfers to Minors Act for the benefit of children of the reporting person. Held by the reporting person as a director of the William and Jacqueline Shaw Family Foundation, Inc. The option is exercisable in 20% annual increments over a 5-year period, with the initial increment being exercisable one year after April 7, 2009, the date of the grant. /s/ Timothy I. Kahler, Attorney-in-Fact for Deborah Shaw 2009-07-13 -----END PRIVACY-ENHANCED MESSAGE-----