0001104659-22-067625.txt : 20220602 0001104659-22-067625.hdr.sgml : 20220602 20220602161556 ACCESSION NUMBER: 0001104659-22-067625 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20220524 FILED AS OF DATE: 20220602 DATE AS OF CHANGE: 20220602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rivera Manuel CENTRAL INDEX KEY: 0001932087 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37954 FILM NUMBER: 22990994 MAIL ADDRESS: STREET 1: C/O SHIFTPIXY, INC. STREET 2: 501 BRICKELL KEY DRIVE, SUITE 300 CITY: MIAMI STATE: FL ZIP: 33131 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ShiftPixy, Inc. CENTRAL INDEX KEY: 0001675634 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EMPLOYMENT AGENCIES [7361] IRS NUMBER: 474211438 STATE OF INCORPORATION: WY FISCAL YEAR END: 0831 BUSINESS ADDRESS: STREET 1: 1 VENTURE STREET 2: SUITE 150 CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: 888-798-9100 MAIL ADDRESS: STREET 1: 1 VENTURE STREET 2: SUITE 150 CITY: IRVINE STATE: CA ZIP: 92618 3 1 tm2217563-1_3.xml FORM 3 X0206 3 2022-05-24 0 0001675634 ShiftPixy, Inc. PIXY 0001932087 Rivera Manuel C/O SHIFTPIXY, INC. 501 BRICKELL KEY DRIVE, SUITE 300 MIAMI FL 33131 0 1 0 0 Treasurer and Acting CFO Incentive Stock Option (Right to Buy) 2.95 2031-06-07 Common Stock 25000 D Subject to the holder's continued service: (i) 25% of the options shall become exercisable upon the holder's completion of one year of service following June 7, 2021, and (ii) 75% of the options shall become exercisable in a series of 12 successive equal quarterly installments upon the holder's completion of each additional quarter of service following June 7, 2022. Exhibit List - Exhibit 24 - Power of Attorney /s/ Manuel Rivera 2022-06-02 EX-24 2 tm2217563d1_ex24-1.htm EXHIBIT 24

Exhibit 24

 

POWER OF ATTORNEY

 

Know all by these present, that the undersigned hereby constitutes and appoints Robert S. Gans, Secretary and General Counsel of ShiftPixy, Inc., signing singly, with full power of substitution, the undersigned's true and lawful attorney-in-fact to:

 

(1)execute for and on behalf of the undersigned, forms and authentication documents for EDGAR Filing Access;

 

(2)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such forms and authentication documents;

 

(3)execute for and on behalf of the undersigned, in the undersigned's capacity as an officer, director and/or 10% shareholder of the Company, Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;

 

(4)do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

(5)take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interests of, or legally required by the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed this 2nd day of June, 2022.

 

 

  /s/ Manuel Rivera  
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  Manuel Rivera  
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