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DSS, INC. Director's Dealing 2017

Dec 7, 2017

35136_dirs_2017-12-07_7183b6d5-eb27-4bfd-b562-891042af4d64.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: 2017-12-05

Reporting Person: Chan Heng Fai Ambrose (Director, 10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-12-05 Common Stock P 300 $1.15 Acquired 2912 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 500000 Indirect
Common Stock 683000 Indirect
Common Stock 800000 Indirect

Footnotes

F1: Held by BMI Capital Partners International Limited, of which the Reporting Person is a director. The Reporting Person has dispositive control over these shares.

F2: Held by Hengfai Business Development Pte Ltd., of which the Reporting Person is the Chief Executive Officer and owner. The Reporting Person has dispositive control over these shares.

F3: Held by Heng Fai Holdings Limited, of which Reporting Person is an Officer and the owner. The Reporting Person has dispositive control over these shares.