0001128784-18-000002.txt : 20180409
0001128784-18-000002.hdr.sgml : 20180409
20180409181253
ACCESSION NUMBER: 0001128784-18-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180318
FILED AS OF DATE: 20180409
DATE AS OF CHANGE: 20180409
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: 18746510
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: 1133 AVENUE OF THE AMERICAS
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 212-704-2400
MAIL ADDRESS:
STREET 1: 1133 AVENUE OF THE AMERICAS
CITY: NEW YORK
STATE: NY
ZIP: 10036
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
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2018-03-18
1
0000103872
VOLT INFORMATION SCIENCES, INC.
VISI
0001007671
SHAW JEROME
0
0
1
0
Common Stock, $0.01 par value
2018-03-18
4
J
0
10000
0
D
0
I
By Spouse
Common Stock, $0.01 par value
2018-03-18
4
J
0
1052583
0
D
0
I
Co-Trustees
Common Stock, $0.01 par value
1401547
I
Trust
Common Stock, $0.01 par value
22951
I
401K Plan
Common Stock, $0.01 par value
2394
I
ESOP Plan
Common Stock, $0.01 par value
12750
I
Family Foundation
Employee Stock Option (Right to Buy)
6.39
2019-04-06
Common Stock, $0.01 par value
8000
8000
I
Trust
Upon the death of Reporting Person's spouse on 3/18/2018, the shares previously reported by Reporting Person are no longer owned by a member of Reporting Person's Immediate Family living with Reporting Person.
Reporting Person disclaims any beneficial ownership of these shares.
Upon the death of Reporting Person's spouse on 3/18/2018, the trustees of this trust changed. This trust is for the benefit of Reporting Person's adult daughter not living with Reporting Person. Reporting Person is no longer a trustee of this trust. Reporting Person is not and was not a beneficiary of this trust.
Upon the death of Reporting Person's spouse on 3/18/2018, the trustees of this trust changed. Reporting Person is no longer a trustee of this trust. Reporting Person remains the beneficiary of this trust.
Held by a family foundation. Reporting Person is an officer and director of this foundation.
Option vests in 20% annual installments, on a cumulative basis, commencing 4/7/2010, one year after the date of the original grant of the option.
Michael Shaw, attorney-in-fact for Jerome Shaw
2018-04-09
EX-24
2
jshawpow.txt
POWER OF ATTORNEY
POWER OF ATTORNEY
The undersigned, Jerome Shaw, as principal, hereby constitutes and
appoints his son, Michael Shaw, with full power of substitution, the
undersigned's true and lawful attorney-in-fact to:
1. prepare, execute in the undersigned's name and on
the undersigned's behalf, and submit to the U.S. Securities and
Exchange Commission (the "SEC") a Form ID, including amendments
thereto, and any other documents necessary or appropriate to
obtain codes, passwords, and passphrases enabling the undersigned
to make electronic filings with the SEC of reports required by
Sections 13 and 16(a) of the Securities Exchange Act of 1934,
as amended (the "Exchange Act"), or any rule or regulation of
the SEC;
2. execute for and on behalf of the undersigned,
Schedule 13D, Schedule 13G, and Forms 3, 4, and 5 in accordance
with Sections 13 and 16(a) of the Exchange Act and the rules
thereunder;
3. do and perform any and all acts for and on behalf
of the undersigned which may be necessary or desirable to
complete and execute any such Schedule 13D, Schedule 13G,
Form 3, 4, or 5, complete and execute any amendment or amendments
thereto, and timely file such schedules and forms with the SEC and
any securities exchange or similar authority; and
4. take any other action of any type whatsoever in
connection with the foregoing which, in the opinion of such
attorney-in-fact, may be of benefit to, in the best interest
of, or legally required by, the undersigned, it being understood
that the documents executed by such attorney-in-fact on behalf
of the undersigned pursuant to this Power of Attorney shall be
in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in- fact's
discretion.
The undersigned hereby grants to such attorney-in-fact
full power and authority to do and perform any and every act
and thing whatsoever requisite, necessary, or proper to be
done in the exercise of any rights and powers herein granted,
as fully to all intents and purposes as the undersigned might
or could do if personally present, with full power of substitution
or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this power of attorney and the rights and powers herein granted.
The undersigned acknowledges that the foregoing attorney-in-fact,
in serving in such capacity at the request of the undersigned, is
not assuming, any of the undersigned's responsibilities to comply
with Sections 13 and 16 of the Exchange Act and the rules thereunder.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Schedule 13D,
Schedule 13G, or Forms 3, 4, and 5 with respect to the undersigned's
holdings of and transactions in securities issued by Volt Information
Sciences, Inc., a New York corporation, unless earlier revoked by
the undersigned in a signed writing delivered to the foregoing
attorney-in-fact. This power of attorney shall not be affected
by subsequent incapacity of the principal.
IN WITNESS WHEREOF, the undersigned has caused this
Power of Attorney to be executed as of February 1, 2018.
__JEROME SHAW____
Name: Jerome Shaw