FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 10/03/2014 |
3. Issuer Name and Ticker or Trading Symbol
DecisionPoint Systems, Inc. [ DPSI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 200,000 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series D Convertible Preferred Stock | 12/20/2012 | (1) | Common Stock | 359,155 | $0.71 | D | |
Series D Convertible Preferred Stock | 12/20/2012 | (1) | Common Stock | 119,718 | $0.71 | D(4) | |
Series D Convertible Preferred Stock(2) | 04/22/2014 | (1) | Common Stock | 17,803 | $0.71 | D(6) | |
Series E Convertible Preferred Stock | 11/12/2013 | (1) | Common Stock | 200,000 | $0.5 | D | |
Series E Convertible Preferred Stock | 11/22/2013 | (1) | Common Stock | 100,000 | $0.5 | D(5) | |
Series E Convertible Preferred Stock(3) | 04/22/2014 | (1) | Common Stock | 5,220 | $0.5 | D(7) | |
Options | 12/31/2014 | 12/31/2017 | Common Stock | 14,221 | $0.38 | D |
Explanation of Responses: |
1. The Series D Convertible Preferred Stock and Series E Convertible Preferred Stock may be converted into shares of Common Stock by the holder at any time and has no expiration date. |
2. Reflects dividend made to holders of Series D Convertible Preferred Stock that was paid (issued) in shares of Series D Convertible Preferred Stock. |
3. Reflects dividend made to holders of Series E Convertible Preferred Stock that was paid (issued) in shares of Series E Convertible Preferred Stock |
4. Includes 59,859 shares held by SDM Irrevocable Trust FBO Lauren Seid UAD 11/05/04 Paul Seid TTEE and 59,859 shares held by SDM Irrevocable Trust FBO Andrew Seid UAD 11/05/04 Paul Seid TTEE |
5. Includes 50,000 shares held by SDM Irrevocable Trust FBO Lauren Seid UAD 11/05/04 Paul Seid TTEE and 50,000 shares held by SDM Irrevocable Trust FBO Andrew Seid UAD 11/05/04 Paul Seid TTEE |
6. Includes 2,225 shares held by SDM Irrevocable Trust FBO Lauren Seid UAD 11/05/04 Paul Seid TTEE and 2,225 shares held by SDM Irrevocable Trust FBO Andrew Seid UAD 11/05/04 Paul Seid TTEE |
7. Includes 740 shares held by SDM Irrevocable Trust FBO Lauren Seid UAD 11/05/04 Paul Seid TTEE and 740 shares held by SDM Irrevocable Trust FBO Andrew Seid UAD 11/05/04 Paul Seid TTE |
/s/ Paul A. Seid | 02/13/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |