0001415889-23-007224.txt : 20230503 0001415889-23-007224.hdr.sgml : 20230503 20230503163114 ACCESSION NUMBER: 0001415889-23-007224 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230501 FILED AS OF DATE: 20230503 DATE AS OF CHANGE: 20230503 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simpson Tom CENTRAL INDEX KEY: 0001808347 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14818 FILM NUMBER: 23884573 MAIL ADDRESS: STREET 1: 38 CORPORATE CIRCLE CITY: ALBANY STATE: NY ZIP: 12203 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: 0128 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 4 1 form4-05032023_040557.xml X0407 4 2023-05-01 0000795212 Kaspien Holdings Inc. KSPN 0001808347 Simpson Tom 2818 N. SULLIVAN ROAD SPOKANE VALLEY WA 99216 true false false false 0 Common Stock, par value $0.01 per share 2023-05-01 4 A 0 15000 0 A 31000 D Common Stock, par value $0.01 per share 14041 I By Kick Start III, LLC Common Stock, par value $0.01 per share 9360 I By Kick Start IV, LLC Common Stock, par value $0.01 per share 25 I By Wife The shares were granted as restricted stock units that vest 100% on the first anniversary of grant. Securities held by Kick Start III, LLC. Mr. Simpson holds an interest, manages and has voting control of Kick Start III, LLC. Securities held by Kick Start IV, LLC. Mr. Simpson holds an interest, manages and has voting control of Kick Start IV, LLC. /s/ Tom Simpson 2023-05-03