-----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, Vye+sRyfQWbXFqGxhI8Iqq5DRfmn8LBC14ejKRrpglMPeNpARVH1NLFeRcQeawiI ymm07HlE1larR2WRMSCzJg== 0001140361-10-049863.txt : 20101215 0001140361-10-049863.hdr.sgml : 20101215 20101215172929 ACCESSION NUMBER: 0001140361-10-049863 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101031 FILED AS OF DATE: 20101215 DATE AS OF CHANGE: 20101215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shaw Deborah CENTRAL INDEX KEY: 0001366962 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 101254409 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 5 1 doc1.xml FORM 5 X0303 5 2010-10-31 0 0 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 2010-10-31 5 J 0 1311 0 D 280592 D Common Stock, $0.10 par value 1562511 I By GRATs Common Stock, $0.10 par value 71220 I As custodian Common Stock, $0.10 par value 2010-03-03 5 W 0 7168 0 D 2623 I As Co-Executrix of the Estate of William Shaw Common Stock, $0.10 par value 2010-06-16 5 W 0 2623 0 D 0 I As Co-Executrix of the Estate of William Shaw Common Stock, $0.10 par value 23019 I By Spouse Common Stock, $0.10 par value 34584 I By Spouse as custodian Stock Option (Right to Buy) 6.39 2019-04-06 Common Stock, $.10 par value 3000 3000 D Return, without consideration, by the reporting person of an excess distribution from the issuer's Savings Plan that had been made to the Estate of William Shaw (the "Estate") and, in turn, distributed by the Estate to the reporting person. Held by Grantor Retained Annuity Trusts ("GRATs") of which the reporting person is the sole trustee and sole annuitant. Transfers between the reporting person and the GRATs are exempt from reporting pursuant to Rule 16a-13. Held by the reporting person as custodian under the California Uniform Transfers to Minors Act for the benefit of children of the reporting person. 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. Represents shares owned by the Estate which were distributed to, or for the benefit of, Linda Shaw, the reporting person's sister. The reporting person's beneficial interest in the shares owned by the Estate, which shares had previously been distributable to, and which have now, been transferred to, the reporting person, have been reported as directly owned by the reporting person. 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. The option is exercisable in 20% annual installments, on a cumulative basis, commencing April 7, 2010, one year after the date of grant of the option. /s/ Deborah Shaw 2010-12-15 -----END PRIVACY-ENHANCED MESSAGE-----