0001493152-17-013628.txt : 20171120 0001493152-17-013628.hdr.sgml : 20171120 20171120171523 ACCESSION NUMBER: 0001493152-17-013628 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171116 FILED AS OF DATE: 20171120 DATE AS OF CHANGE: 20171120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ronaldi Jeffrey CENTRAL INDEX KEY: 0001580473 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32146 FILM NUMBER: 171214596 MAIL ADDRESS: STREET 1: C/O DOCUMENT SECURITY SYSTEMS, INC. STREET 2: 28 EAST MAIN STREET, SUITE 1525 CITY: ROCHESTER STATE: NY ZIP: 14614 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 4 1 form4.xml X0306 4 2017-11-16 0 0000771999 DOCUMENT SECURITY SYSTEMS INC DSS 0001580473 Ronaldi Jeffrey C/O DOCUMENT SECURITY SYSTEMS, INC. 200 CANAL VIEW BLVD, SUITE 300 ROCHESTER NY 14623 1 1 0 0 CEO Common stock 2017-11-16 4 P 0 109400 0.66 A 431703 D Common stock 2017-11-17 4 P 0 27000 0.69 A 458703 D /s/ Jeffrey Ronaldi 2017-11-20