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