As of July 23, 2019
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
DOCUMENT SECURITY SYSTEMS, INC.
30,180,626 shares of Common Stock outstanding, Heng Fai Ambrose Chan has a total of 5,493,641 in DSS
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Republic of Singapore
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
7 SOLE VOTING POWER:
5,493,641 (1)
8 SHARED VOTING POWER:
9 SOLE DISPOSITIVE POWER:
5,493,641 (1)
10 SHARED DISPOSITIVE POWER:
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,493,641 (1)
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
[ ]
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
18.20(2)
14 TYPE OF REPORTING PERSON (See Instructions)
IN
(1) Consists of (a) 1,786,531 shares of common stock, par value $0.02 per share of Document Security Systems, Inc. (the “Common Stock”) held by Heng Fai Holdings Limited (“Heng Fai Holdings”), (b) 500,000 shares of Common Stock held by BMI Capital Partners International Limited (“BMI Capital”), (c) 683,000 shares of Common Stock held by Hengfai Business Development Pte Ltd. (“Hengfai Business Development”), (d) 2,077,682 shares of Common Stock held by the Reporting Person; and (e) 446,428 shares of Common Stock held by LiquidValue Development Pte Ltd.
(2) Based on 30,180,626 shares of Common Stock outstanding.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
DOCUMENT SECURITY SYSTEMS, INC.
30,180,626 shares of Common Stock outstanding, Heng Fai Ambrose Chan has a total of 5,493,641 in DSS
6 CITIZENSHIP OR PLACE OF ORGANIZATION
Republic of Singapore
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
7 SOLE VOTING POWER:
5,493,641 (1)
8 SHARED VOTING POWER:
9 SOLE DISPOSITIVE POWER:
5,493,641 (1)
10 SHARED DISPOSITIVE POWER:
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
5,493,641 (1)
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions)
[ ]
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
18.20(2)
14 TYPE OF REPORTING PERSON (See Instructions)
IN
(1) Consists of (a) 1,786,531 shares of common stock, par value $0.02 per share of Document Security Systems, Inc. (the “Common Stock”) held by Heng Fai Holdings Limited (“Heng Fai Holdings”), (b) 500,000 shares of Common Stock held by BMI Capital Partners International Limited (“BMI Capital”), (c) 683,000 shares of Common Stock held by Hengfai Business Development Pte Ltd. (“Hengfai Business Development”), (d) 2,077,682 shares of Common Stock held by the Reporting Person; and (e) 446,428 shares of Common Stock held by LiquidValue Development Pte Ltd.
(2) Based on 30,180,626 shares of Common Stock outstanding.
