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