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*
Avedissian Nancy T

(Last) (First) (Middle)
C/O VOLT INFORMATION SCIENCES, INC.
2401 N. GLASSELL ST.

(Street)
ORANGE CA 92865

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VOLT INFORMATION SCIENCES, INC. [ VOLT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP/Chief Legal Ofcer/CorpSec
3. Date of Earliest Transaction (Month/Day/Year)
06/14/2020
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 06/14/2020 M 4,098 A (1) 45,813 D
Common Stock 06/14/2020 M 11,719 A (2) 57,532 D
Common Stock 06/14/2020 A 12,960 A (3) 70,492 D
Common Stock 06/14/2020 M 8,641 A (4) 79,133 D
Common Stock 06/14/2020 F 10,312 D $0.95(5) 68,821 D
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
Restricted Stock Unit (6) 06/14/2020 M 4,098 (1) (1) Common Stock 4,098 $0 0 D
Restricted Stock Unit (6) 06/14/2020 M 11,719 (2) (2) Common Stock 11,719 $0 11,718 D
Restricted Stock Unit (6) 06/14/2020 M 8,641 (4) (4) Common Stock 8,641 $0 17,281 D
Explanation of Responses:
1. On June 14, 2017, the reporting person was granted 12,295 restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the registrant's common stock. The restricted stock units vest ratably on each of the first three anniversaries of the grant date.
2. On June 14, 2018, the reporting person was granted 35,156 restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the registrant's common stock or the cash value thereof, subject to a cap on the value received. The restricted stock units will vest ratably on each of the first three anniversaries of the grant date.
3. On June 14, 2019, the reporting person was granted 25,921 performance stock units. The performance units are eligible to vest 1/3 in each of the three years following the grant date based on the Company's achievement of certain financial performance goals measured over the applicable fiscal year performance period. At the maximum level of achievement, up to 150% of the units granted are eligible to vest. Each performance stock unit represents a contingent right to receive one share of the registrant's common stock.
4. On June 14, 2019, the reporting person was granted 25,922 restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the registrant's common stock. The restricted stock units will vest ratably on each of the first three anniversaries of the grant date.
5. Represents the number of shares of common stock withheld by the issuer to satisfy the tax withholding obligations of the reporting person in connection with the vesting of 20,360 restricted stock units reported in Table II below and 12,960 performance stock units reported in Table I.
6. Restricted stock units convert into common stock on a one-for-one basis.
Remarks:
/s/ Nancy T. Avedissian 06/15/2020
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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