0001493152-22-030820.txt : 20221107 0001493152-22-030820.hdr.sgml : 20221107 20221107160631 ACCESSION NUMBER: 0001493152-22-030820 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221107 DATE AS OF CHANGE: 20221107 EFFECTIVENESS DATE: 20221107 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: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-464088 FILM NUMBER: 221365421 BUSINESS ADDRESS: STREET 1: 757 THIRD AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 646-507-5710 MAIL ADDRESS: STREET 1: 757 THIRD AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 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. 757 THIRD AVENUE 27TH FLOOR NEW YORK NY NEW YORK 10017 (646) 507-5710 DELAWARE Golden Fork Corp. GOLDEN FORK CORP Corporation true Brendan Flood 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Executive Officer Director Chairman and Chief Executive Officer Khalid Anwar 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Executive Officer Senior Vice President of Corporate Finance Dimitri Villard 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Director Nicholas Florio 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Director Jeff Grout 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Director Alicia Barker 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Director Vincent Cebula 757 Third Avenue 27th Floor New York NY NEW YORK 10017 Director Business Services Decline to Disclose 06b false 2022-10-27 false true true true false 0 371456 371456 0 Represents a) 100,000 shares of common stock issued to Jackson Investment Group, LLC in connection with credit agreement amendment based on 10/27/22 close price and b) warrants to purchase up to 24,332 shares at an exercise price of $3.06 per share. false 1 0 0 0 false Staffing 360 Solutions, Inc. /s/ Brendan Flood Brendan Flood Chairman and Chief Executive Officer 2022-11-07