SEC Form 4 · accession 0001493152-16-013713
DSS, INC. · DSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert B Fagenson
Director
Period of report
Sep 27, 2016
Accepted (ET)
Sep 29, 2016 · 5:00 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000771999
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 27, 2016 | P | 101 | $0.61 | A | 292,057 | D | |
| Common StockF1,F2 | holding | — | — | — | 50,000 | I | See Footnotes |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Amounts reflect a 1-for-4 reverse stock split which was affected by DSS on August 26, 2016.
- F2Consists of 25,000 shares held by Mr. Fagenson's wife, and an aggregate of 25,000 shares held in trusts for Mr. Fagenson's two adult children, of which Mr. Fagenson is trustee. Mr. Fagenson disclaims beneficial ownership of these 50,000 shares.