0001493152-21-028022.txt : 20211112 0001493152-21-028022.hdr.sgml : 20211112 20211112080037 ACCESSION NUMBER: 0001493152-21-028022 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 EFFECTIVENESS DATE: 20211112 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: 021-420784 FILM NUMBER: 211399689 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 27TH FLOOR NEW YORK NY NEW YORK 10022 (646) 507-5710 DELAWARE Golden Fork Corp. GOLDEN FORK CORP Corporation true Khalid Anwar 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Executive Officer Senior Vice President of Corporate Finance Dimitri Villard 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Director Nicholas Florio 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Director Jeff Grout 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Director Alicia Barker 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Director Vincent Cebula 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Director Business Services Decline to Disclose 06b false 2021-10-28 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 CT CONNECTICUT NJ NEW JERSEY NY NEW YORK false 18781773 9250002 9531771 Item (C) represents prefunded warrants, warrants, and Agent warrants to purchase up to 325,317, 4,683,547 and 351,266 shares of common stock, respectively, at respective exercise prices of $0.00001, $1.85 and $2.4688 per share. false 7 871250 0 Consists of $92,500 management fee, $693,750 cash fee, $50,000 legal fees and $35,000 non-accountable expenses. Agent also received warrants to purchase up to 351,266 shares of common stock at an exercise price of $2.4688 per share. 0 false Staffing 360 Solutions, Inc. /s/ Brendan Flood Brendan Flood Chairman and Chief Executive Officer 2021-11-12