0000906318-12-000014.txt : 20120203
0000906318-12-000014.hdr.sgml : 20120203
20120203101807
ACCESSION NUMBER: 0000906318-12-000014
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120101
FILED AS OF DATE: 20120203
DATE AS OF CHANGE: 20120203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bailis David P
CENTRAL INDEX KEY: 0001346441
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11699
FILM NUMBER: 12568211
MAIL ADDRESS:
STREET 1: 6200 SOUTH QUEBEC STREET
CITY: GREENWOOD VILLAGE
STATE: CO
ZIP: 80111
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: STANDARD REGISTER CO
CENTRAL INDEX KEY: 0000093456
STANDARD INDUSTRIAL CLASSIFICATION: MANIFOLD BUSINESS FORMS [2761]
IRS NUMBER: 310455440
STATE OF INCORPORATION: OH
FISCAL YEAR END: 0103
BUSINESS ADDRESS:
STREET 1: 600 ALBANY ST
CITY: DAYTON
STATE: OH
ZIP: 45401
BUSINESS PHONE: 5134341000
MAIL ADDRESS:
STREET 1: 600 ALBANY STREET
STREET 2: P O BOX 1167
CITY: DAYTON
STATE: OH
ZIP: 45401-1167
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
5
2012-01-01
0
0
0
0000093456
STANDARD REGISTER CO
SR
0001346441
Bailis David P
1239 NORTH 138 CIRCLE
OMAHA
NE
68154-5100
1
0
0
0
Common Shares
2010-03-05
5
A
0
L
129.7
5.78
A
101989.18
D
Common Shares
2011-02-07
5
A
0
L
232.9
3.22
A
101989.18
D
Common Shares
2011-06-10
5
A
0
L
870.3
3.16
A
101989.18
D
Director David Bailis timely filed Form 4s with respect to certain shares of the company's common stock that Mr. Bailis purchased under the Company's Dividend Reinvestment and Common Stock Purchase Plan on March 5, 2010, February 7, 2011 and June 10, 2011. However, it was subsequently determined that the Company's transfer agent had provided incorrect information with respect to the amount of shares purchased on each occasion. This Form 5 reflects the shares that were purchased over and above the shares that were originally reported on the Form 4s that were timely filed.
/s/Gerard D. Sowar, by power of attorney for David P. Bailis
2012-02-02