DSS, INC. — Director's Dealing 2019

Mar 26, 2019

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: DOCUMENT SECURITY SYSTEMS INC (DSS)
CIK: 0000771999
Period of Report: 2019-03-25

Reporting Person: Chan Heng Fai Ambrose (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2019-03-25	Common Stock	C	446428	$1.12	Acquired	446428	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2019-03-25	Convertible Promissory Note	$1.12	C	446428	Disposed	2020-02-18	Common (446428)	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	1786531	Indirect
Common Stock	500000	Indirect
Common Stock	683000	Indirect
Common Stock	2912	Direct

Footnotes

F1: Held by Heng Fai Holdings Limited of which Reporting Person is the owner. The Reporting Person has dispositive control over these securities.

F2: Held by BMI Capital Partners International Limited of which the Reporting Person is an owner and director. The Reporting Person has dispositive control over these securities.

F3: Held by Hengfai Business Development Pte Ltd of which Reporting Person is the Chief Executive Officer and Owner. The Reporting Person has dispositive control over these securities.

F4: On March 25, 2019, a Convertible Promissory Note in the amount of $500,000 was converted into 446,428 shares of the common stock of Document Security Systems, Inc. These shares are held by LiquidValue Development Pte Ltd, of which the Reporting Person is the owner and a director. The Reporting Person has dispositive control over these shares.