DSS, INC. — Director's Dealing 2011

Jul 18, 2011

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: DOCUMENT SECURITY SYSTEMS INC (DSS)
CIK: 0000771999
Period of Report: 2011-07-15

Reporting Person: ROY MICHAEL J (Director, PRESIDENT, DIGITAL DIVISION)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2011-07-15	COMMON STOCK	J	5992	—	Disposed	41176	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2011-07-15	OPTIONS	$3.33	J	5992	Acquired	2016-05-11	COMMON STOCK (5992)	Direct

Footnotes

F1: Grant of common stock made to Michael J. Roy on 05/12/11 reduced from 47,168 shares to 41,176 shares of Document Security
Systems, Inc. common stock pursuant to grant recalculation provision contained in stock purchase agreement.

F2: Grant of options to Michael J. Roy on 05/12/11 increased from 32,832 underlying shares to 38,824 underlying shares pursuant
to grant recalculation provision contained in stock purchase agreement.