-----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, WWK5b38VSdfFGTXdDHlQbZ/41uX2eoanUZ0Qq9vw1coMRqpH+40xACCj7UZZA3bj cgTRjWtfQVxxbu8p5yr7SQ== 0001181431-06-071985.txt : 20061227 0001181431-06-071985.hdr.sgml : 20061227 20061227142923 ACCESSION NUMBER: 0001181431-06-071985 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061220 FILED AS OF DATE: 20061227 DATE AS OF CHANGE: 20061227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ettinger Peter CENTRAL INDEX KEY: 0001368180 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32146 FILM NUMBER: 061300414 BUSINESS ADDRESS: BUSINESS PHONE: (585) 325-3610 MAIL ADDRESS: STREET 1: 28 EAST MAIN STREET STREET 2: SUITE 1525 CITY: ROCHESTER STATE: NY ZIP: 14614 ISSUER: 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 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 4 1 rrd140486.xml FORM 4 - ETTINGER X0202 4 2006-12-20 0 0000771999 DOCUMENT SECURITY SYSTEMS INC DMC 0001368180 Ettinger Peter C/O DOCUMENT SECURITY SYSTEMS 28 EAST MAIN STREET, SUITE 1525 ROCHESTER NY 14614 0 1 0 0 President Common Stock 2006-12-20 4 A 0 310000 10.19 A 360000 D Employee Stock Option (right to buy) 10.19 2006-12-20 4 A 0 40000 10.19 A 2011-12-19 Common Stock 40000 40000 D Consists of shares of restricted Common Stock issued pursuant to the Company's Employee Stock Option Plan, which vest as follows: 250,000 shares that vest only upon a Change of Control of the Issuer and 60,000 shares that vest only upon the attainment of certain performance goals as indicated in Mr. Ettinger's employment agreement with the Issuer. Consists of shares of restricted Common Stock issued pursuant to the Company's Employee Stock Option Plan, which vest as follows: 250,000 shares that vest only upon a Change of Control of the Issuer; 60,000 shares that vest only upon the attainment of certain performance goals as indicated in Mr. Ettinger's employment agreement with the Issuer; 16,667 shares that vest on June 12, 2007; 16,667 shares that vest on June 12, 2008, and 16,666 shares that vest on June 12, 2009. The option vests 50% immediately and 50% on December 20, 2007. Peter Ettinger 2006-12-27 -----END PRIVACY-ENHANCED MESSAGE-----