- Initial Statement of Beneficial Ownership (3)
January 19 2012 - 6:46PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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TOMS NICHOLAS R H
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/15/2011
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3. Issuer Name
and
Ticker or Trading Symbol
DecisionPoint Systems, Inc. [DPSI]
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(Last)
(First)
(Middle)
19655 DESCARTES
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
__
X
__ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
CEO, President /
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(Street)
FOOTHILL RANCH, CA 92610-2609
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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182814
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D
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Common Stock
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52618
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I
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See footnote
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option
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(2)
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1/1/2014
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Common Stock
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158389
(3)
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$1.45
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D
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Stock Option
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(2)
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1/1/2014
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Common Stock
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13542
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$1.88
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D
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Stock Options
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(3)
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6/17/2021
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Common Stock
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40096
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$2.17
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D
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Bridge Note Warrant
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6/17/2007
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6/17/2012
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Common Stock
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5530
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$7.23
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D
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Series A Cumulative Convertible Preferred Stock
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6/17/2009
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(4)
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Common Stock
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66365
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$3.62
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D
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Series A Warrants
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6/17/2009
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6/17/2012
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Common Stock
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16591
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$7.23
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D
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Series A Warrants
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6/17/2009
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6/17/2012
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Common Stock
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16591
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$9.04
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D
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Explanation of Responses:
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(
1)
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The Company's employees participate in an Employee Stock Ownership Plan ("ESOP") administered by an independent Trustee who holds the shares as a block
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(
2)
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Exercisable over 5 years, fully exercisable
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(
3)
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Exercisable equally over 5 years beginning on 6/15/12.
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(
4)
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The Series A Convertible Preferred Stock may be converted into shares of Common Stock by the holder at any time and has no expiration date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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TOMS NICHOLAS R H
19655 DESCARTES
FOOTHILL RANCH, CA 92610-2609
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X
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CEO, President
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Signatures
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/s/ Nicholas R. Toms
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1/19/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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