0000921895-15-001722.txt : 20150702 0000921895-15-001722.hdr.sgml : 20150702 20150702142818 ACCESSION NUMBER: 0000921895-15-001722 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150629 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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: 1102 BUSINESS ADDRESS: STREET 1: 1065 AVENUE OF THE AMERICAS STREET 2: 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10018 BUSINESS PHONE: 212-704-2400 MAIL ADDRESS: STREET 1: 1065 AVENUE OF THE AMERICAS STREET 2: 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10018 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Glacier Peak Capital LLC CENTRAL INDEX KEY: 0001567397 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 15968848 BUSINESS ADDRESS: STREET 1: 500 108TH AVE NE SUITE 905 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 425-453-5010 MAIL ADDRESS: STREET 1: 500 108TH AVE NE SUITE 905 CITY: BELLEVUE STATE: WA ZIP: 98004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Glacier Peak U.S. Value Fund, L.P. CENTRAL INDEX KEY: 0001562077 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 15968849 BUSINESS ADDRESS: STREET 1: 500 108TH AVE NE, SUITE 905 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 4254535010 MAIL ADDRESS: STREET 1: 500 108TH AVE NE, SUITE 905 CITY: BELLEVUE STATE: WA ZIP: 98004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rudolf John C CENTRAL INDEX KEY: 0001622933 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 15968850 MAIL ADDRESS: STREET 1: C/O GLACIER PEAK CAPITAL STREET 2: CITY CNTR BLDG, 500 108TH AVE, NE, #905 CITY: BELLEVUE STATE: WA ZIP: 98004 4 1 form410167002_07022015.xml OWNERSHIP DOCUMENT X0306 4 2015-06-29 0 0000103872 VOLT INFORMATION SCIENCES, INC. VISI 0001622933 Rudolf John C 500 108TH AVENUE SUITE 905 BELLEVUE WA 98004 1 0 1 0 0001562077 Glacier Peak U.S. Value Fund, L.P. 500 108TH AVENUE NE SUITE 905 BELLEVUE WA 98004 0 0 1 0 0001567397 Glacier Peak Capital LLC 500 108TH AVENUE NE SUITE 905 BELLEVUE WA 98004 0 0 1 0 Common Stock, $0.10 Par Value 2015-06-29 4 A 0 8082 0 A 414796 D Common Stock, $0.10 Par Value 2015-06-30 4 P 0 7932 9.29 A 1785643 D Stock Option 9.28 2015-06-29 4 A 0 36675 0 A 2015-06-29 2022-06-28 Common Stock 36675 36675 D This Form 4 is filed jointly by Glacier Peak U.S. Value Fund, L.P. (the "Fund"), Glacier Peak Capital LLC ("GPC"), and John C. Rudolf (collectively, the "Reporting Persons"). Each Reporting Person is a member of a reporting group that owns in the aggregate more than 10% of the Issuer's outstanding shares of Common Stock. As such, each Reporting Person may be deemed to beneficially own more than 10% of the Issuer's outstanding shares of Common Stock. Each Reporting Person disclaims beneficial ownership of the shares of Common Stock reported herein except to the extent of his or its pecuniary interest therein, and this report shall not be deemed to be an admission that any Reporting Person is the beneficial owner of such shares of Common Stock for purposes of Section 16 or for any other purpose. Mr. Rudolf directly owns 228,479 Shares of Common Stock, may be deemed to beneficially own 36,675 fully vested stock options which are not included in Table I, may be deemed to beneficially own 5,000 Shares of Common Stock that are held in an IRA account that he controls, may be deemed to beneficially own 30,000 Shares of Common Stock that are held in an account he controls for the benefit of his wife, and may be deemed to beneficially own 151,317 Shares of Common Stock held in various accounts he controls for the benefit of other family members. Shares of Common Stock beneficially owned by the Fund. GPC, as the general partner of the Fund, may be deemed to be the beneficial owner of the shares of Common Stock beneficially owned by the Fund. Mr Rudolf, as President of GPC, may be deemed to be the beneficial owner of the shares of Common Stock beneficially owned by the Fund. On June 29, 2015, Mr. Rudolf was granted fully vested shares of Common Stock as part of the director compensation program approved by the board of directors. On June 29, 2015, Mr. Rudolf was granted fully vested stock options as part of the director compensation program approved by the board of directors. /s/ John C. Rudolf 2015-07-02 Glacier Peak U.S. Value Fund, L.P.; By: Glacier Peak Capital LLC; By: /s/ John C. Rudolf, as President 2015-07-02 Glacier Peak Capital LLC; By: /s/ John C. Rudolf, as President 2015-07-02