SEC Form 4 · accession 0001571049-17-007971
Staffing 360 Solutions, Inc. · STAF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Period of report
Sep 18, 2017
Accepted (ET)
Sep 19, 2017 · 7:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001499717
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Sep 18, 2017 | J | 2,250,000 | $0.00 | A | 9,411,019 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On September 18, 2017, Jackson Investment Group, LLC ("JIG LLC") acquired 2,250,000 shares of Common Stock as a commitment fee in connection with the acquisition by JIG LLC of a $40,000,000 senior secured note of the Issuer with a maturity date of September 15, 2020.
- F2Richard L. Jackson, the sole manager and controlling owner of JIG LLC, may be deemed the indirect beneficial owner, but he disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
- F3Total does not include 721 shares of common stock personally owned by Richard L. Jackson, the chief executive officer of JIG LLC. These shares are directly and beneficially owned by Richard L. Jackson, one of the Reporting Persons; however, they are not owned by JIG LLC, the designated Reporting Person.
Remarks
This form is filed by both JIG LLC and Richard L. Jackson, the sole manager and controlling owner of JIG LLC.