- Statement of Changes in Beneficial Ownership (4)
15 Janvier 2009 - 3:42AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN 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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Sorensen Trust
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2. Issuer Name
and
Ticker or Trading Symbol
WESTAFF INC
[
WSTF
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
3820 STATE STREET
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3. Date of Earliest Transaction
(MM/DD/YYYY)
11/4/2008
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(Street)
SANTA BARBARA, CA 93105
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, par value $0.01 per share
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11/4/2008
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P
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310
(1)
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A
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$0.41
(1)
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1670853
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D
(2)
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Common Stock, par value $0.01 per share
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11/7/2008
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P
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361500
(1)
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A
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$0.41
(1)
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2032353
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D
(2)
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Common Stock, par value $0.01 per share
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11/12/2008
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P
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550
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A
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$0.41
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2032903
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D
(2)
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Explanation of Responses:
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(
1)
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The transactions on 11/04/2008 and 11/07/2008, respectively, are reported on an aggregate basis. All purchases on 11/04/2008 and 11/07/2008 of Westaff, Inc. common stock were made at the purchase price of $0.41 per share of common stock. The Reporting Persons undertake to provide upon request by the Commission staff, Westaff, Inc., or a securityholder of Westaff, Inc. full information regarding the number of shares purchased in each transaction.
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(
2)
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This report is filed jointly by the Sorensen Trust, D. Stephen Sorensen and Shannon P. Sorensen. The Sorensen Trust is a California trust. These shares are owned directly by the Sorensen Trust, and indirectly by Mr. and Mrs. Sorensen as settlors and sole trustees of the Sorensen Trust. Mr. and Mrs. Sorensen are citizens of the United States of America.
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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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Sorensen Trust
3820 STATE STREET
SANTA BARBARA, CA 93105
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X
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Sorensen D Stephen
3820 STATE STREET
SANTA BARBARA, CA 93105
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X
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Sorensen Shannon P
3820 STATE STREET
SANTA BARBARA, CA 93105
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X
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Signatures
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/S/ D. STEPHEN SORENSEN, as trustee
/S/ SHANNON P. SORENSEN, as trustee
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1/12/2009
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**
Signature of Reporting Person
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Date
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/S/ D. STEPHEN SORENSEN
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1/12/2009
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**
Signature of Reporting Person
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Date
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/S/ SHANNON P. SORENSEN
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1/12/2009
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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 4(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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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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