0001128784-18-000005.txt : 20180605 0001128784-18-000005.hdr.sgml : 20180605 20180605181638 ACCESSION NUMBER: 0001128784-18-000005 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180503 FILED AS OF DATE: 20180605 DATE AS OF CHANGE: 20180605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHAW MICHAEL CENTRAL INDEX KEY: 0001542405 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 18882513 MAIL ADDRESS: STREET 1: 167 HILLCREST ROAD CITY: BERKELEY STATE: CA ZIP: 94705 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2018-05-03 0 0000103872 VOLT INFORMATION SCIENCES, INC. VISI 0001542405 SHAW MICHAEL 167 HILLCREST ROAD BERKELEY CA 94705 0 0 1 0 Common Stock, $0.01 par value 119852 D Common Stock, $0.01 par value 750872 I Co-trustee Common Stock, $0.01 par value 1052583 I Co-trustee Common Stock, $0.01 par value 1401547 I Co-trustee Common Stock, $0.01 par value 12750 I Officer and director of corporate owner Common Stock, $0.01 par value 7650 I Beneficiary of 401K of another Common Stock, $0.01 par value 798 I Beneficiary of ESOP plan of another Emplpoyee Stock Option (Right to Buy) 6.39 2019-04-06 Common Stock, $0.01 par value 8000 I Co-trustee Jointly owned with Reporting Person's spouse. Reporting Person is a co-trustee of a trust for the benefit of another. Reporting Person disclaims any beneficial ownership of these shares. Reporting Person has no current pecuniary interest in these shares except as a co-trustee or officer or director. Reporting Person is a co-trustee and beneficiary of this trust. Reporting Person is the beneficiary of on-third of the holdings of a 401K of another. Upon the death of the Reporting Person's father on May 3, 2018, Reporting Person has the right to acquire these shares within 60 days. Reporting Person is the beneficiary of one-third of the holdings of an ESOP of another. Upon the death of Reporting Person's father on May 3, 2018, Reporting Person has the right to acquire these shares within 60 days. 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 2018-06-05