0001144204-15-022647.txt : 20150414
0001144204-15-022647.hdr.sgml : 20150414
20150414141622
ACCESSION NUMBER: 0001144204-15-022647
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150410
FILED AS OF DATE: 20150414
DATE AS OF CHANGE: 20150414
ISSUER:
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: NY
FISCAL YEAR END: 0531
BUSINESS ADDRESS:
STREET 1: 641 LEXINGTON AVENUE
STREET 2: SUITE 1526
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: 212-634-6462
MAIL ADDRESS:
STREET 1: 641 LEXINGTON AVENUE
STREET 2: SUITE 1526
CITY: NEW YORK
STATE: NY
ZIP: 10022
FORMER COMPANY:
FORMER CONFORMED NAME: GOLDEN FORK CORP
DATE OF NAME CHANGE: 20100820
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mayer Robert Oscar
CENTRAL INDEX KEY: 0001587443
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-54515
FILM NUMBER: 15768930
MAIL ADDRESS:
STREET 1: 15122 EL CAMINO REAL
CITY: DEL MAR
STATE: CA
ZIP: 92014
4
1
v407244_4.xml
OWNERSHIP DOCUMENT
X0306
4
2015-04-10
0
0001499717
Staffing 360 Solutions, Inc.
STAF
0001587443
Mayer Robert Oscar
C/O STAFFING 360 SOLUTIONS, INC.
641 LEXINGTON AVE, SUITE 1526
NEW YORK
NY
10022
1
0
0
0
Common Stock, $0.00001 par value per share
2015-04-10
4
A
0
650
A
839
I
By Seven Investre, LLC
These shares were issued as additional consideration in connection with the issuance of promissory notes to Seven Investre, LLC. The reporting person is a member of Seven Investre, LLC ("SI"). The listed amount of securities beneficially owned by the reporting person reflects the reporting person's ownership percentage in SI. The reporting person disclaims beneficial ownership of the securities held by SI, except to the extent of his pecuniary interest therein.
/s/ Robert Oscar Mayer
2015-04-10