0001628280-21-002153.txt : 20210212 0001628280-21-002153.hdr.sgml : 20210212 20210212181648 ACCESSION NUMBER: 0001628280-21-002153 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210210 FILED AS OF DATE: 20210212 DATE AS OF CHANGE: 20210212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wijesuriya Dilantha CENTRAL INDEX KEY: 0001442445 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32407 FILM NUMBER: 21630624 MAIL ADDRESS: STREET 1: 1132 FLOWERWOOD PLACE CITY: WALNUT CREEK STATE: CA ZIP: 94598 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ARC DOCUMENT SOLUTIONS, INC. CENTRAL INDEX KEY: 0001305168 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MAILING, REPRODUCTION, COMMERCIAL ART & PHOTOGRAPHY [7330] IRS NUMBER: 201700361 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12657 ALCOSTA BLVD. STREET 2: SUITE 200 CITY: SAN RAMON STATE: CA ZIP: 94583 BUSINESS PHONE: (925) 949-5126 MAIL ADDRESS: STREET 1: 12657 ALCOSTA BLVD. STREET 2: SUITE 200 CITY: SAN RAMON STATE: CA ZIP: 94583 FORMER COMPANY: FORMER CONFORMED NAME: American Reprographics CO DATE OF NAME CHANGE: 20041005 4 1 wf-form4_161317175699570.xml FORM 4 X0306 4 2021-02-10 0 0001305168 ARC DOCUMENT SOLUTIONS, INC. ARC 0001442445 Wijesuriya Dilantha C/O ARC DOCUMENT SOLUTIONS, INC. 12657 ALCOSTA BLVD., SUITE 200 SAN RAMON CA 94583 0 1 0 0 Chief Operating Officer Common Stock 2021-02-10 4 J 0 100000 D 227640 D Common Stock 328450 I Wijesuriya Family Trust DTD 9/4/2002 Option (right to buy) 2.25 2021-02-10 4 A 0 90118 0 A 2022-02-10 2031-02-10 Common Stock 90118.0 90118 D On February 10, 2021, the Reporting Person, at the request of the Issuer, agreed to voluntarily surrender the 100,000 shares of restricted common stock (the "Award Shares") granted to the Reporting Person on February 13, 2020 (the "Award Date"), after the Issuer subsequently determined that there was an insufficient number of shares of common stock available for awards of restricted shares and restricted stock units under the Issuer's 2014 Stock Incentive Plan to validly issue the Award Shares on the Award Date. This stock option vests 25% on each of the first four anniversaries of the grant date. /s/ Jorge Avalos, Attorney-in-Fact 2021-02-12