0001493152-21-010859.txt : 20210510 0001493152-21-010859.hdr.sgml : 20210510 20210510115627 ACCESSION NUMBER: 0001493152-21-010859 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 EFFECTIVENESS DATE: 20210510 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Staffing 360 Solutions, Inc. CENTRAL INDEX KEY: 0001499717 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 680680859 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-398720 FILM NUMBER: 21905841 BUSINESS ADDRESS: STREET 1: 641 LEXINGTON AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 646-507-5710 MAIL ADDRESS: STREET 1: 641 LEXINGTON AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: GOLDEN FORK CORP DATE OF NAME CHANGE: 20100820 D 1 primary_doc.xml X0708 D LIVE 0001499717 Staffing 360 Solutions, Inc. 641 LEXINGTON AVENUE SUITE 2701 NEW YORK NY NEW YORK 10022 (646) 507-5710 DELAWARE Golden Fork Corp. GOLDEN FORK CORP Corporation true Brendan Flood 641 Lexington Avenue Suite 2701 New York NY NEW YORK 10022 Executive Officer Director Chairman and Chief Executive Officer Khalid Anwar 641 Lexington Avenue Suite 2701 New York NY NEW YORK 10022 Executive Officer Senior Vice President of Corporate Finance Dimitri Villard 641 Lexington Avenue Suite 2701 New York NY NEW YORK 10022 Director Nicholas Florio 641 Lexington Avenue Suite 2701 New York NY NEW YORK 10022 Director Jeff Grout 641 Lexington Avenue Suite 2701 New York NY NEW YORK 10022 Director Alicia Barker 641 Lexington Avenue New York NY NEW YORK 10022 Director Business Services Decline to Disclose 06b false 2021-04-23 true true true true false 0 H.C. Wainwright & Co., LLC 375 None None 430 PARK AVENUE 4TH FLOOR NEW YORK NY NEW YORK 10022 NV NEVADA NJ NEW JERSEY NY NEW YORK false 4697633 4697633 0 Represents an aggregate of 4,697.6328 shares of Series F convertible preferred stock at a price of $1,000 per share and warrants to purchase up to an aggregate of 7,829,388 shares of common stock at an exercise price of $0.60 per share. false 6 484299 0 Consists of a cash fee equal to 7.5% of the gross proceeds, $50,000 legal fee, $46,976.33 management fee and $35,000 expense allowance. Agent also received warrants to purchase up to 587,204 shares of common stock at an exercise price of $0.725 per share. 0 false Staffing 360 Solutions, Inc. /s/ Brendan Flood Brendan Flood Chairman and Chief Executive Officer 2021-05-10