0001493152-19-002934.txt : 20190306
0001493152-19-002934.hdr.sgml : 20190306
20190306161513
ACCESSION NUMBER: 0001493152-19-002934
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190305
FILED AS OF DATE: 20190306
DATE AS OF CHANGE: 20190306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DelGiorno Daniel
CENTRAL INDEX KEY: 0001768218
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32146
FILM NUMBER: 19662691
MAIL ADDRESS:
STREET 1: 22 MARY LU DRIVE
CITY: HOLTSVILLE
STATE: NY
ZIP: 11742
FORMER NAME:
FORMER CONFORMED NAME: Giorno Daniel Del
DATE OF NAME CHANGE: 20190215
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
ownership.xml
X0306
4
2019-03-05
0
0000771999
DOCUMENT SECURITY SYSTEMS INC
DSS
0001768218
DelGiorno Daniel
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
2019-03-05
4
J
0
130435
1.15
A
130435
I
See Footnote 1
The Common Stock was issued as partial consideration for a licensing contract between the Issuer and Advanced Cyber Security Corp. The Reporting Person is a principal and the Chief Executive Officer of Advanced Cyber Security Corp. and is also a member of Issuer's Board of Directors. Reporting Person has dispositive control over the shares issued.
/s/ Daniel DelGiorno
2019-03-06