0001140361-13-045035.txt : 20131205
0001140361-13-045035.hdr.sgml : 20131205
20131205161434
ACCESSION NUMBER: 0001140361-13-045035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131203
FILED AS OF DATE: 20131205
DATE AS OF CHANGE: 20131205
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: 1031
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: SHAW JEROME
CENTRAL INDEX KEY: 0001007671
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09232
FILM NUMBER: 131260057
4
1
doc1.xml
FORM 4
X0306
4
2013-12-03
0
0000103872
VOLT INFORMATION SCIENCES, INC.
VISI
0001007671
SHAW JEROME
C/O VOLT INFORMATION SCIENCES, INC.
2401 NORTH GLASSELL STREET
ORANGE
CA
92865
1
1
1
0
Executive V.P. and Secretary
Common Stock, $0.01 par value
2013-12-03
4
A
0
446017
0
A
800392
I
As Co-Trustee
Common Stock, $0.10 par value
1401547
D
Common Stock, $0.10 par value
2578
I
By ESOP
Common Stock, $0.10 par value
24721
I
By 401(k) Plan
Common Stock, $0.10 par value
9825
I
By Spouse
Held by the reporting person and his spouse as co-trustees of a trust for the benefit of the daughter of the reporting person.
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.
Column 5 of Table 1 gives effect to all transactions, including Employee Stock Ownership Plan distributions, 401(k) Plan contributions and distributions and contributions to, and all annuity distributions from, Grantor Retained Annuity Trusts created by the reporting person through December 3, 2013. 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.
Held in the undersigned's Company Stock Fund under the undersigned's 401(k) Plan account in the Company Savings Plan as of the date hereof.
/s/ Jerone Shaw
2013-12-05