0001493152-18-005240.txt : 20180416 0001493152-18-005240.hdr.sgml : 20180416 20180416163021 ACCESSION NUMBER: 0001493152-18-005240 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: Marcus Clark A. CENTRAL INDEX KEY: 0001422478 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32146 FILM NUMBER: 18756913 MAIL ADDRESS: STREET 1: 1211 N. WESTSHORE BLVD. STREET 2: SUITE 512 CITY: TAMPA STATE: FL ZIP: 33607 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 form-4.xml X0306 4 2018-04-12 0 0000771999 DOCUMENT SECURITY SYSTEMS INC DSS 0001422478 Marcus Clark A. C/O DOCUMENT SECURITY SYSTEMS, INC. 200 CANAL VIEW BLVD, SUITE 300 ROCHESTER NY 14623 1 0 0 0 Common Stock 1175 I See footnote Options 1.30 2018-04-12 4 A 0 10000 A Common Stock 10000 10000 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. Common Stock is held in the name of the Reporting Person's son, Michael J. Marcus. /s/ Clark A. Marcus 2018-04-16