0001493152-18-005238.txt : 20180416
0001493152-18-005238.hdr.sgml : 20180416
20180416163019
ACCESSION NUMBER: 0001493152-18-005238
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180412
FILED AS OF DATE: 20180416
DATE AS OF CHANGE: 20180416
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hurwitz Warren
CENTRAL INDEX KEY: 0001580363
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32146
FILM NUMBER: 18756911
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
2018-04-12
0
0000771999
DOCUMENT SECURITY SYSTEMS INC
DSS
0001580363
Hurwitz Warren
C/O DOCUMENT SECURITY SYSTEMS, INC.
200 CANAL VIEW BLVD, SUITE 300
ROCHESTER
NY
14623
1
0
0
0
Common Stock
3750
D
Options
1.30
2018-04-12
4
A
0
10000
A
Common Stock
10000
17500
D
Options granted to the Reporting Person under the Company's Employee, Director and Consultant Equity Incentive Plan. The options vest 1/3 on 4/12/18, 1/3 on 4/12/19 and 1/3 on 4/12/20. The options grant expires on 4/12/23.
Options grant was made to the Reporting Person in consideration of his services as a Director of the Company.
/s/ Warren Hurwitz
2018-04-16