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