0001493152-19-011052.txt : 20190724
0001493152-19-011052.hdr.sgml : 20190724
20190724175806
ACCESSION NUMBER: 0001493152-19-011052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190723
FILED AS OF DATE: 20190724
DATE AS OF CHANGE: 20190724
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scott Brett L
CENTRAL INDEX KEY: 0001405195
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32146
FILM NUMBER: 19971938
MAIL ADDRESS:
STREET 1: 15770 LAGUNA CANYON ROAD
STREET 2: SUITE 150
CITY: IRVINE
STATE: CA
ZIP: 92618
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
2019-07-23
0
0000771999
DOCUMENT SECURITY SYSTEMS INC
DSS
0001405195
Scott Brett L
C/O DOCUMENT SECURITY SYSTEMS, INC
200 CANAL VIEW BLVD, SUITE 300
ROCHESTER
NY
14623
1
0
0
0
Common Stock
2019-07-23
4
A
0
30575
0
A
30575
D
Represents a stock grant awarded to the Reporting Person by the Issuer pursuant to the Company's 2013 Employee, Director and Consultants Equity Incentive Plan in consideration for the Reporting Person's services as a Director of the Issuer.
/s/ Brett L. Scott
2019-07-24