0001493152-16-015516.txt : 20161129
0001493152-16-015516.hdr.sgml : 20161129
20161129161516
ACCESSION NUMBER: 0001493152-16-015516
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161128
FILED AS OF DATE: 20161129
DATE AS OF CHANGE: 20161129
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOCUMENT SECURITY SYSTEMS INC
CENTRAL INDEX KEY: 0000771999
STANDARD INDUSTRIAL CLASSIFICATION: PAPERBOARD CONTAINERS & BOXES [2650]
IRS NUMBER: 161229730
STATE OF INCORPORATION: NY
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 200 CANAL VIEW BOULEVARD
STREET 2: SUITE 300
CITY: ROCHESTER
STATE: NY
ZIP: 14623
BUSINESS PHONE: 585 232 1500
MAIL ADDRESS:
STREET 1: 200 CANAL VIEW BOULEVARD
STREET 2: SUITE 300
CITY: ROCHESTER
STATE: NY
ZIP: 14623
FORMER COMPANY:
FORMER CONFORMED NAME: NEW SKY COMMUNICATIONS INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: THOROUGHBREDS USA INC
DATE OF NAME CHANGE: 19861118
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SANDERS JOSEPH L.
CENTRAL INDEX KEY: 0001655128
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32146
FILM NUMBER: 162022907
MAIL ADDRESS:
STREET 1: C/O DOCUMENT SECURITY SYSTEMS, INC.
STREET 2: 28 EAST MAIN STREET, SUITE 1525
CITY: ROCHESTER
STATE: NY
ZIP: 14614
FORMER NAME:
FORMER CONFORMED NAME: SANDERS JOSEPH
DATE OF NAME CHANGE: 20151007
4
1
form4.xml
X0306
4
2016-11-28
0
0000771999
DOCUMENT SECURITY SYSTEMS INC
DSS
0001655128
SANDERS JOSEPH L.
C/O DOCUMENT SECURITY SYSTEMS, INC.
200 CANAL VIEW BLVD, SUITE 300
ROCHESTER
NY
14623
1
0
0
0
Common Stock
2016-11-28
4
P
0
3000
.65
A
237419
D
Amount reflects a 1-for-4 reverse stock split which was affected by the issuer on August 26, 2016.
/s/ Joseph L. Sanders
2016-11-29