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