SEC Form 5 · accession 0001140361-15-043601
VOLT INFORMATION SCIENCES, INC. · VISI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bruce G Goodman
Director
Period of report
Nov 1, 2015
Accepted (ET)
Dec 3, 2015 · 6:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000103872
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.10 par valueF1,F2 | Jul 10, 2015 | G | 30,000 | $0.00 | D | 1,281,990 | I | By Spouse |
| Common Stock, $0.10 par valueF3,F2,F4 | Jul 10, 2015 | G | 30,000 | $0.00 | A | 103,356 | I | As Co-Trustee |
| Common Stock, $0.10 par value | holding | — | — | — | 34,826 | D | ||
| Common Stock, $0.10 par valueF2,F5 | holding | — | — | — | 557,054 | I | As Co-Trustee | |
| Common Stock, $0.10 par valueF2,F6 | holding | — | — | — | 1,500 | I | As Trustee |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $9.28 | holding | — | — | — | Jun 29, 2015 | Jun 28, 2022 | Common Stock | 36,675 | 36,675 | D |
| Stock Option (Right to Buy)F7 | $6.39 | holding | — | — | — | — | Apr 6, 2019 | Common Stock | 3,000 | 3,000 | D |
Explanation of responses
- F1Distributed to the reporting person, the spouse of the reporting person and the sister of the spouse of reporting person, as co-trustees of trusts for the benefit of children of the spouse of the reporting person upon gift from the spouse of the reporting person.
- F2The filing of this statement shall not be construed as an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of these securities.
- F3Acquired by the reporting person, the spouse of the reporting person and the sister of the spouse of reporting person, as co-trustees of trusts for the benefit of children of the spouse of the reporting person upon gift from the spouse of the reporting person.
- F4Held by the reporting person, the spouse of the reporting person and the sister of the spouse of reporting person, as co-trustees of trusts for the benefit of children of the spouse of the reporting person.
- F5Held by the reporting person and the sister of the spouse of the reporting person, as co-trustees of a trust for the benefit of children of the spouse of the reporting person.
- F6Held by the reporting person as trustee of an irrevocable trust for the benefit of a child of the reporting person.
- F7This option became exercisable in 20% annual installments, on a cumulative basis, commencing April 7, 2010, one year after the date of grant of the option.