0001179110-22-002654.txt : 20220414 0001179110-22-002654.hdr.sgml : 20220414 20220414115129 ACCESSION NUMBER: 0001179110-22-002654 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220311 FILED AS OF DATE: 20220414 DATE AS OF CHANGE: 20220414 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kowalchuk Brock CENTRAL INDEX KEY: 0001923244 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14818 FILM NUMBER: 22826486 MAIL ADDRESS: STREET 1: PO BOX 462 CITY: EAST SCHODACK STATE: NY ZIP: 12063 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Kaspien Holdings Inc. CENTRAL INDEX KEY: 0000795212 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL- COMPUTER & PRERECORDED TAPE STORES [5735] IRS NUMBER: 141541629 STATE OF INCORPORATION: NY FISCAL YEAR END: 0129 BUSINESS ADDRESS: STREET 1: 2818 N. SULLIVAN RD. CITY: SPOKANE STATE: WA ZIP: 99216 BUSINESS PHONE: 5184521242 MAIL ADDRESS: STREET 1: 2818 N. SULLIVAN RD. CITY: SPOKANE STATE: WA ZIP: 99216 FORMER COMPANY: FORMER CONFORMED NAME: TRANS WORLD ENTERTAINMENT CORP DATE OF NAME CHANGE: 19941212 FORMER COMPANY: FORMER CONFORMED NAME: TRANS WORLD MUSIC CORP DATE OF NAME CHANGE: 19920703 3 1 edgar.xml FORM 3 - X0206 3 2022-03-11 0 0000795212 Kaspien Holdings Inc. KSPN 0001923244 Kowalchuk Brock 2818 N. SULLIVAN RD STE 30 SPOKANE WA 99216 0 1 0 0 Interim Chief Executive Office Common Stock 5500 D Employee Stock Options (Right to Buy) 7.12 2030-07-07 Common stock 8496 D Option grant becomes exercisable in 4 equal annual installments beginning on the first anniversary of the date of grant. The date of grant was July 7, 2020. /S/ Brock Kowalchuk 2022-04-14