SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
SHAW STEVEN A

(Last) (First) (Middle)
346 CLAYPOOL DRIVE

(Street)
WARWICK RI 02886

(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 10% Owner
Officer (give title below) X Other (specify below)
Former Director and 10% Owner
3. Date of Earliest Transaction (Month/Day/Year)
12/03/2013
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $0.10 par value 12/03/2013 J 346,014 A $0.00 1,685,704 D(1)(2)
Common Stock, $0.10 par value 14,216 I As Sole Trustee(3)
Common Stock, $0.10 par value 54,054 I As Co-Trustee(4)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Since the date of the last report: (1) (A) 346,014 shares previously held in two trusts for the benefit of the reporting person and for which the reporting person was a co-trustee are now owned directly by the reporting person as a result of the dissolution of such trusts; and (B) the 346,014 shares distributed to the reporting person as a result of the dissolution of such trusts includes a gift of 18,102 shares from the reporting person?s father to one of the trusts made on February 13, 2013; and (2) 829,178 shares previously held in trusts for the benefit of the reporting person's brother and sister and for which the reporting person was a co-trustee are no longer indirectly beneficially owned by the reporting person as a result of the dissolution of such trusts.
2. The total number of shares held directly by the reporting person includes a gift of 200,000 shares from the reporting person?s father made on November 29, 2012.
3. Held as Sole Trustee of trusts for the benefit of two nephews of the reporting person.
4. Held as Co-Trustee of trusts for the benefit of a nephew of the reporting person.
Remarks:
/s/ Steven A. Shaw 12/03/2013
** 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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