0001493152-21-018556.txt : 20210804 0001493152-21-018556.hdr.sgml : 20210804 20210804160525 ACCESSION NUMBER: 0001493152-21-018556 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210804 DATE AS OF CHANGE: 20210804 EFFECTIVENESS DATE: 20210804 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: 021-408841 FILM NUMBER: 211143969 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 Brendan Flood 641 Lexington Avenue 27th Floor New York NY NEW YORK 10022 Executive Officer Director Chairman and Chief Executive Officer 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 2021-07-20 true true true false 0 H.C. Wainwright & Co., LLC 375 None None 430 PARK AVENUE 4TH FLOOR NEW YORK NY NEW YORK 10022 IL ILLINOIS NJ NEW JERSEY NY NEW YORK false 4889633 4889633 0 Represents (1) warrants to purchase up to an aggregate of 1,099,566 shares of common stock at an exercise price of $3.80 per share and (2) warrants issued to Agent to purchase up to 164,935 shares of common stock at an exercise price of $4.3125 per share. false 8 674512 0 Consists of: $7,587.01 management fee, $569,025.38 cash fee, $85,000 expenseallowance and $12,900 in clearing expenses. Agent also received warrants to purchase up to 164,935 shares of common stock at an exercise price of $4.1325 pershare. 0 false Staffing 360 Solutions, Inc. /s/ Brendan Flood Brendan Flood Chairman and Chief Executive Officer 2021-08-04