SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SHAW JEROME

(Last) (First) (Middle)
C/O VOLT INFORMATION SCIENCES, INC.
2401 NORTH GLASSELL STREET

(Street)
ORANGE CA 92865

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VOLT INFORMATION SCIENCES, INC. [ VOL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
X Officer (give title below) Other (specify below)
EXECUTIVE V.P. AND SECRETARY
3. Date of Earliest Transaction (Month/Day/Year)
04/07/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $.10 par value 2,691,747(1) D
Common Stock, $.10 par value 12,750 I By Family Foundation(2)(3)
Common Stock, $.10 par value 3,127.089 I By ESOP(4)
Common Stock, $.10 par value 26,835.93 I By 401(k) Plan(5)
Common Stock, $.10 par value 354,375 I As Trustee(3)(6)
Common Stock, $.10 par value 9,825 I By Spouse(3)(7)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $6.39 04/07/2009 A 8,000 (8) 04/06/2019 Common Stock, $.10 par value 8,000 $0 8,000 D
Explanation of Responses:
1. Includes 3,964 shares owned directly and 2,687,783 shares owned by the reporting person as trustee under six trusts for the reporting person's benefit.
2. Held by a family foundation of which the reporting person is a director.
3. The filing of this statement shall not be construed as an admission that the reporting person is, for the purpose of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of these securities.
4. Held in the reporting person's Employee Stock Ownership Plan account in the Company Savings Plan as of the date hereof.
5. Held in the reporting person's Stock Fund under the reporting person's 401(k) Plan account in the Company Savings Plan as of the date hereof.
6. Held by the reporting person and his spouse as trustees of a trust for the benefit of the daughter of the reporting person.
7. Held by the reporting person's spouse.
8. The option is exercisable in 20% annual increments over a 5 year period, with the initial increment being exercisable 1 year after the date of the grant.
/s/ Howard Weinreich, Attorney-In-Fact 04/15/2009
** 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 4 (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.