0001140361-14-045639.txt : 20141217 0001140361-14-045639.hdr.sgml : 20141217 20141217165109 ACCESSION NUMBER: 0001140361-14-045639 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141102 FILED AS OF DATE: 20141217 DATE AS OF CHANGE: 20141217 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 Deborah CENTRAL INDEX KEY: 0001366962 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09232 FILM NUMBER: 141293102 MAIL ADDRESS: STREET 1: 2908 MAPLE AVENUE CITY: MANHATTAN BEACH STATE: CA ZIP: 90266 5 1 doc1.xml FORM 5 X0306 5 2014-11-02 0 0 0 0000103872 VOLT INFORMATION SCIENCES, INC. VISI 0001366962 Shaw Deborah 2908 MAPLE AVENUE MANHATTAN BEACH CA 90266 1 0 0 0 Common Stock, $0.10 par value 2013-12-31 5 G 0 69401 0 A 1322133 D Common Stock, $0.10 par value 2013-12-31 5 G 0 29346 0 D 1292778 D Common Stock, $0.10 par value 2013-12-31 5 G 0 29346 0 A 289176 I By Spouse as Co Trustee Common Stock, $0.10 par value 2014-01-30 5 G 0 261149 0 A 1553927 D Common Stock, $0.10 par value 2014-01-30 5 G 0 102067 0 D 1454360 D Common Stock, $0.10 par value 2014-01-30 5 G 0 102067 0 A 391243 I By Spouse as Co-Trustee Common Stock, $0.10 par value 71220 I As custodian 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 Distributed to the reporting person as a result of the termination of Grantor Retained Annuity Trusts. Distributed to the reporting person's spouse and his sister as co-trustees of trusts for the benefit of the children of the reporting person upon gift from the reporting person. Held by the reporting person's spouse and his sister as co-trustees of trusts for the benefit of the 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. Includes award of 2,500 shares of Restricted Stock granted under the Volt Information Sciences, Inc. 2006 Incentive Stock Plan previously reported on From 4 on August 14, 2014. Held by the reporting person as custodian under the California Uniform Transfers to Minors Act for the benefit of children of 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. This option became 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 2014-12-17