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DSS, INC. Director's Dealing 2015

Sep 17, 2015

35136_dirs_2015-09-17_12ad3295-a725-4cd7-86f7-b356d515aed8.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: DOCUMENT SECURITY SYSTEMS INC (DSS)
CIK: 0000771999
Period of Report: 2015-09-15

Reporting Person: FAGENSON ROBERT B (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2015-09-15 Common Stock P 454545 $.22 Acquired 1335321 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2015-09-15 Warrant $.40 P 90909 Acquired 2020-03-16 Common Stock (90909) Direct

Footnotes

F1: Does not include, as previously reported on Form 4, 100,000 shares of the Issuer's common stock ("Common Stock") owned by the Reporting Person's spouse, 50,000 shares of Common Stock owned by a trust for the benefit of Stephanie Fagenson, and 50,000 shares of Common Stock owned by a trust for the benefit of Jennifer Fagenson.

F2: Warrant issued at no additional cost in connection with the Reporting Person's purchase of 454,545 shares of Common Stock from the Issuer.