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