SEC Form 5 · accession 0001593968-16-000507
ARC DOCUMENT SOLUTIONS, INC. · ARC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dilantha Wijesuriya
Officer — Chief Operating Officer
Period of report
Jun 22, 2015
Accepted (ET)
Jan 28, 2016 · 2:41 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001305168
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jun 22, 2015 | J | 12,000 | $0.00 | D | 0 | D | |
| Common StockF1,F3 | Jun 22, 2015 | J | 12,000 | $0.00 | A | 328,450 | I | Wijesuriya Family Trust DTD 9/4/2002 |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Estate transfer of shares from Mr. Wijesuriya to the Wijesuriya Family Trust of which Mr. Wijesuriya is a Trustee.
- F2The total Securities Beneficially Owned has been updated based on an inadvertent under reporting of the transfer of 6,400 shares to the Wijesuriya Family Trust in a prior filing.
- F3The total Securities Beneficially Owned has been updated based on an inadvertent under reporting of the transfer of 6,400 shares from Mr. Wijesuriya's direct holdings in a prior filing.