SEC Form 4 · accession 0001128784-16-000002
VOLT INFORMATION SCIENCES, INC. · VISI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerome Shaw
Officer — Exec VP
Period of report
Sep 12, 2016
Accepted (ET)
Sep 23, 2016 · 7:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000103872
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock OptionF1 | $6.39 | Sep 12, 2016 | G | 8,000 | D | — | Apr 6, 2016 | Common Stock $0.10 par value | 8,000 | 0 | D |
| Employee Stock OptionF2,F1 | $6.39 | Sep 12, 2016 | G | 8,000 | A | — | Apr 6, 2019 | Common Stock, $0.10 par value | 8,000 | 8,000 | I |
Explanation of responses
- F1The option is exercisable in 20% annual installments, on a cumulative basis, commencing April 7, 2010, one year after the date of grant of the option.
- F2Held by the reporting person and his spouse as co-trustees of a revocable (living) trust for the benefit of the reporting person and his spouse.