SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Absher Scott W

(Last) (First) (Middle)
4101 NW 25TH STREET

(Street)
MIAMI FL 33142

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ShiftPixy, Inc. [ PIXY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
CEO
3. Date of Earliest Transaction (Month/Day/Year)
10/11/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, Par Value $0.0001 Per Share 10/11/2023 J 550,000 A (1) 550,000 D
Common Stock, Par Value $0.0001 Per Share 10/12/2023 J 1,721,625 A (2) 2,271,625 D
Common Stock, Par Value $0.0001 Per Share 10/13/2023 G 2,126,625 D (3) 145,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Following a donation by the Reporting Person of 1,721,625 shares of the Issuer's Common Stock, Par Value $0.0001 Per Share ("Common Stock"), to Ronald McDonald House Charities, Inc., a tax-exempt charitable organization (the "Charity"), the Charity rejected 550,000 of the donated shares in order to assure that its holding was below 10% of the Issuer's total shares outstanding.
2. Following a donation by the Reporting Person of 1,721,625 shares of the Issuer's Common Stock to the American Red Cross, a tax-exempt charitable organization, the American Red Cross rejected 1,721,625 of the donated shares.
3. The Reporting Person donated 2,126,625 shares of the Issuer's Common Stock to the following tax exempt charitable organizations:(a) 550,000 of the Issuer's Common Stock to Hadassah, (b) 1,012,500 of the Issuer's Common Stock to Medical Teams International, (c) 337,500 of the Issuer's Common Stock to the National Center for Missing & Exploited Children, (d) 120,000 of the Issuer's Common Stock to International Justice Mission, and (e) 106,625 of the Issuer's Common Stock to Unbound.
Remarks:
/s/ Scott W. Absher 10/13/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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