UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Restricted Stock Units | Â (1) | Â (1) | Common Stock | 13,405 | $ 0 | D | Â |
Stock Option (right to buy) | Â (2) | 04/11/2026 | Common Stock | 66,934 | $ 7.46 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Perez Jorge A C/O VOLT INFORMATION SCIENCES, INC. 1133 AVENUE OF THE AMERICAS NEW YORK, NY 10036 |
 |  |  President - VWS |  |
/s/ Sharon H. Stern, attorney-in-fact | 06/20/2016 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On April 11, 2016, the reporting person was granted 13,405 restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the registrant's common stock or the cash value thereof. The restricted stock units will vest ratably on each of the first three anniversaries of the grant date, subject to the reporting person's continued employment with the registrant on each applicable vesting date, to be settled within ten days following the applicable vesting date. |
(2) | On April 11, 2016, the reporting person was granted 66,934 options to purchase shares of the registrant's common stock. The stock options will vest ratably on each of the first three anniversaries of the grant date, subject to the reporting person's continued employment with the registrant on each applicable vesting date. |
 Remarks: Exhibit 24:  Power of Attorney |