SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
Amendment No. 1
To
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULE 13d-1(b) (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO
RULE 13d-2(b)
DOCUMENT SECURITY SYSTEMS, INC.
(Name of Issuer)
COMMON STOCK, PAR VALUE $0.02 PER SHARE
(Title of Class of Securities)
25614T101
(CUSIP Number)
July 18, 2013
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
[ ] Rule 13d-1(b)
[ x] Rule 13d-1(c)
[ ] Rule 13d-1(d)
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CUSIP No. 25614T101
1 | NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Barry Honig | |||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) ¨ (b) ¨ | ||
3 | SEC USE ONLY | |||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION United States | |||
NUMBER OF SHARES | 5 | SOLE VOTING POWER 0 | ||
BENEFICIALLY OWNED BY | 6 | SHARED VOTING POWER 0 | ||
EACH REPORTING | 7 | SOLE DISPOSITIVE POWER 0 | ||
PERSON WITH | 8 | SHARED DISPOSITIVE POWER 0 |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 |
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0 |
12 | TYPE OF REPORTING PERSON* IN |
2
CUSIP No. 25614T101
1 | NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) GRQ Consultants, Inc. 401K Plan | |||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) ¨ (b) ¨ | ||
3 | SEC USE ONLY | |||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION Florida | |||
NUMBER OF SHARES | 5 | SOLE VOTING POWER 0 | ||
BENEFICIALLY OWNED BY | 6 | SHARED VOTING POWER 0 | ||
EACH REPORTING | 7 | SOLE DISPOSITIVE POWER 0 | ||
PERSON WITH | 8 | SHARED DISPOSITIVE POWER 0 |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 |
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0 |
12 | TYPE OF REPORTING PERSON* OO |
3
CUSIP No. 25614T101
1 | NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) GRQ Consultants, Inc. Roth 401K FBO Barry Honig | |||
2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* | (a) ¨ (b) ¨ | ||
3 | SEC USE ONLY | |||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION Florida | |||
NUMBER OF SHARES | 5 | SOLE VOTING POWER 0 | ||
BENEFICIALLY OWNED BY | 6 | SHARED VOTING POWER 0 | ||
EACH REPORTING | 7 | SOLE DISPOSITIVE POWER 0 | ||
PERSON WITH | 8 | SHARED DISPOSITIVE POWER 0 |
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 0 |
10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) |
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0 |
12 | TYPE OF REPORTING PERSON* OO |
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Item1(a). | Name of Issuer: |
Document Security Systems, Inc.
Item1(b). | Address of Issuer's Principal Executive Offices: |
First Federal Plaza, Suite 1525, 28 East Main Street, Rochester, NY 14614
Item 2(a). | Name of Person Filing. |
The statement is filed on behalf of Barry Honig, GRQ Consultants, Inc. 401K Plan (“GRQ 401K Plan”) and GRQ Consultants, Inc. Roth 401K FBO Barry Honig (“GRQ Roth 401K Plan”).
Item 2(b). | Address of Principal Business Office or, if None, Residence. |
555 South Federal Highway #450, Boca Raton, FL 33432
Item 2(c). | Citizenship. |
United States/Florida
Item 2(d). | Title of Class of Securities. |
Common Stock, par value $0.02 per share
Item 2(e). | CUSIP Number. |
25614T101
Item 3. | Type of Person |
Not applicable.
Item 4. | Ownership. |
(a) Amount beneficially owned: 0
(b) Percent of class: 0
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote: 0
(ii) Shared power to vote or to direct the vote: 0
(iii) Sole power to dispose or to direct the disposition of: 0
(iv) Shared power to dispose or to direct the disposition of: 0
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Item 5. | Ownership of Five Percent or Less of a Class. |
Not applicable.
Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not Applicable
Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported by the Parent Holding Company. |
Not applicable.
Item 8. | Identification and Classification of Members of the Group. |
Not applicable.
Item 9. | Notice of Dissolution of Group. |
Not applicable.
Item 10. | Certifications. |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: September 5, 2013 | By: | /s/ Barry Honig | |
Barry Honig | |||
GRQ Consultants, Inc. 401K Plan | |||
Date: September 5, 2013 | By: | /s/ Barry Honig | |
Barry Honig | |||
GRQ Consultants, Inc. Roth 401K FBO Barry Honig | |||
Date: September 5, 2013 | By: | /s/ Barry Honig | |
Barry Honig | |||