0001209191-22-024352.txt : 20220413 0001209191-22-024352.hdr.sgml : 20220413 20220413192218 ACCESSION NUMBER: 0001209191-22-024352 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220412 FILED AS OF DATE: 20220413 DATE AS OF CHANGE: 20220413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grout Jeff William CENTRAL INDEX KEY: 0001601423 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37575 FILM NUMBER: 22825696 MAIL ADDRESS: STREET 1: C/O STAFFING 360, 641 LEXINGTON AVENUE STREET 2: SUITE 1526 CITY: NEW YORK STATE: NY ZIP: 10022 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: DE FISCAL YEAR END: 0102 BUSINESS ADDRESS: STREET 1: 641 LEXINGTON AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 646-507-5710 MAIL ADDRESS: STREET 1: 641 LEXINGTON AVENUE STREET 2: 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: GOLDEN FORK CORP DATE OF NAME CHANGE: 20100820 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-04-12 0 0001499717 Staffing 360 Solutions, Inc. STAF 0001601423 Grout Jeff William C/O STAFFING 360 SOLUTIONS, INC. 757 THIRD AVE, 27TH FLOOR NEW YORK NY 10017 1 0 0 0 Common stock, $0.00001 par value per share 2022-04-12 4 A 0 2000 0.00 A 13791 D The reporting person received these shares pursuant to an issuance by the registrant to the directors for Board Services. Khalid Anwar, attorney-in-fact 2022-04-13