SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
 Form 3 Holdings Reported.
  
 Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
SHAW JEROME
(Last) (First) (Middle)
C/O VOLT INFORMATION SCIENCES, INC.
2401 NORTH GLASSELL STREET
(Street)
ORANGE CA 92865
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VOLT INFORMATION SCIENCES, INC. [ VISI ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
X Officer (give title below) Other (specify below)
Executive V.P. and Secretary
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
10/30/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
 6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock, $0.10 par value 04/21/2011 G 91,465 D $0 1,209,097(1) D
Common Stock, $0.10 par value 02/25/2011 G 109,548 D $0 1,909,200(2) I By GRATs(2)(3)
Common Stock, $0.10 par value 04/19/2011 G 249,511 D $0 943,584(2) I By GRATs(2)
Common Stock, $0.10 par value 2,852.35(3) I By ESOP(3)
Common Stock, $0.10 par value 27,618.652 I By 401(k) Plan(4)
Common Stock, $0.10 par value 354,375 I As Co-Trustee(5)(6)
Common Stock, $0.10 par value 9,825 I By Spouse(6)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $6.39 (7) 04/06/2019 Common Stock $.10 par value 8,000 8,000 D
Explanation of Responses:
1. Column 5 of Table 1 gives effect to all transactions, including Employee Stock Ownership Plan ("ESOP") distributions, 401(k) Plan contributions and distributions and contributions to, and all annuity distributions from, Grantor Retained Annuity Trusts ("GRATs") created by the reporting person through the date set forth in Column 2 except that the final amounts shown as owned directly or through the ESOP, 401(k) Plan and GRATs are at the end of the fiscal year covered by this Report). Certain of the transactions may not be reportable and, therefore, amounts shown in Column 5 may not foot to the amount previously reported as owned.
2. Held by GRATs created by the reporting person and of which the reporting person is the sole trustee and sole annuitant. Contributions to the GRATs by, and annuity distributions to, the reporting person are exempt from reporting pursuant to Rule 16a-13. The shares owned at the end of the fiscal year given effect to all contributions made to, and all annuity distributions received from, the GRATs since last reported.
3. Held in the reporting person's ESOP account in the Company Savings Plan as of October 30, 2011. Gives effect to ESOP distributions since last reported which are exempt from reporting pursuant to Rule 16a-13.
4. Held in the reporting person's Stock Fund under the reporting person's 401(k) Plan account in the Company Savings Plan as of October 30, 2011. Gives effect to 401(k) Plan contributions and distributions which are exempt from reporting pursuant to Rules 16a-3(f)(1)(i)(b) and 16a-13, respectively, since last reported.
5. Held by the reporting person and his spouse as co-trustees of a trust for the benefit of the daughter of the reporting person.
6. The filing of this statement shall not be construed as an admission that the reporting person is, for the purpose of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of these securities.
7. 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.
Remarks:
/s/ Jerome Shaw 12/14/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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