0001493152-17-010384.txt : 20170908
0001493152-17-010384.hdr.sgml : 20170908
20170908171532
ACCESSION NUMBER: 0001493152-17-010384
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170801
FILED AS OF DATE: 20170908
DATE AS OF CHANGE: 20170908
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Avallone Pamela
CENTRAL INDEX KEY: 0001716182
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32146
FILM NUMBER: 171077290
MAIL ADDRESS:
STREET 1: 200 CANAL VIEW BLVD,
STREET 2: SUITE 300,
CITY: ROCHESTER
STATE: NY
ZIP: 14623
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
3
1
form3.xml
X0206
3
2017-08-01
0
0000771999
DOCUMENT SECURITY SYSTEMS INC
DSS
0001716182
Avallone Pamela
C/O DOCUMENT SECURITY SYSTEMS, INC.
200 CANAL VIEW BLVD, SUITE 300
ROCHESTER
NY
14623
1
0
0
0
Common Stock, par value $0.02 per share
0
D
/s/ Pamela Avallone
2017-09-08