-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NylU4GW81fQKKaFWATuXpUOWxVi5P/TqeCNfwr3p6hYNowzEGvWvILDe8pro0mLc ilv+M3LJ0o31AoTCvT/pnA== 0000909012-04-000738.txt : 20041028 0000909012-04-000738.hdr.sgml : 20041028 20041028171542 ACCESSION NUMBER: 0000909012-04-000738 CONFORMED SUBMISSION TYPE: 8-K/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040924 ITEM INFORMATION: Departure of Directors or Principal Officers; Election of Directors; Appointment of Principal Officers FILED AS OF DATE: 20041028 DATE AS OF CHANGE: 20041028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DOCUMENT SECURITY SYSTEMS INC CENTRAL INDEX KEY: 0000771999 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 161229730 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32146 FILM NUMBER: 041103439 BUSINESS ADDRESS: STREET 1: 36 WEST MAIN ST STREET 2: SUITE 710 CITY: ROCHESTER STATE: NY ZIP: 14614 BUSINESS PHONE: 585 232 1500 MAIL ADDRESS: STREET 1: 36 W MAIN ST STREET 2: SUITE 710 CITY: ROCHESTER STATE: NY ZIP: 14614 FORMER COMPANY: FORMER CONFORMED NAME: NEW SKY COMMUNICATIONS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: THOROUGHBREDS USA INC DATE OF NAME CHANGE: 19861118 8-K/A 1 t301380.txt AMENDMENT TO 8-K FOR PERIOD SEPTEMBER 24, 2004 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------------------ FORM 8-K/A CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported) SEPTEMBER 24, 2004 -------------------------------- DOCUMENT SECURITY SYSTEMS, INC. - -------------------------------------------------------------------------------- (Exact name of Registrant as specified in charter) NEW YORK 0-14621 16-1229730 - -------------------------------------------------------------------------------- (State or other jurisdic- (Commission (IRS Employer tion of incorporation) File Number) Identification No.) FIRST FEDERAL PLAZA SUITE 1525 28 EAST MAIN STREET, ROCHESTER, NEW YORK 14614 - -------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code (585) 877-276-0293 ------------------------------ (Former name or former address, if changed since last report.) ITEM 5.02: ELECTION OF DIRECTORS (CORRECTION) NOTE: This 8K Amendment has been filed solely to correct a typographical error in Item 5.02 of the original filing. The error reflected on incorrect purchase price in paragraph 6 below by Mr. Fagenson which should have read $100,000. No other changes to the information provided in the Form 8-K are intended. The Board of Directors of Document Security Systems, Inc. announced on September 29, 2004 that at a Board of Directors meeting held on September 24, 2004, it had increased the size of the Board of Directors by two persons, and appointed two persons to fill the new vacancies. There are now 6 persons constituting the Board of Directors. A copy of the press release is annexed as Exhibit 99.1 to this Report. The two new Directors are Robert Fagenson and Ira Greenstein. Mr. Fagenson is Chairman and President of Fagenson & Company, a New York Stock Exchange member brokerage firm. Mr. Fagenson is also Vice Chairman of Van der Moolen Specialists USA, LLC, the fourth-largest New York Stock Exchange specialist firm. Mr. Fagenson formerly served as a Director and Vice Chairman of the New York Stock Exchange. Mr. Greenstein is President and a Director of IDT Corporation (NYSE: IDT), a leading provider of wholesale and retail telecommunications services with annual revenues over $1.8 billion. IDT also enables computer users to place calls via the Internet to a regular telephone through its Net2Phone (NASDAQ: NTOP) subsidiary. On July 27, 2002, Mr. Fagenson purchased an aggregate of 1,000,000 shares of Common Stock of the Company for a total consideration of $100,000. In December 2003, IDT Venture Capital Corporation, a subsidiary of IDT Corporation, purchase 100,000 shares of Common Stock of the Company and warrants to acquire an additional 500,000 shares for an exercise price of $2.50 per share. The purchase price for the securities was $211,875 consisting of certain legal and other expenses incurred by IDT on behalf of the Company. -2- SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report on Form 8-K/A to be signed on its behalf by the undersigned hereunto duly authorized. Dated: October 27, 2004 DOCUMENT SECURITY SYSTEMS, INC. (Registrant) By /S/ PATRICK A. WHITE ------------------------------- Patrick A. White Chief Executive Officer -4- -----END PRIVACY-ENHANCED MESSAGE-----