Jackson Investment Group, LLC 4

4 · Staffing 360 Solutions, Inc. · Filed May 13, 2021

Form 4

Period: 2021-05-06

10% Owner

Transactions

Other
Common Stock
2021-05-06$1.00/sh+7,665,000$7,665,000→ 4,467,204 total
Other
Series E Convertible Preferred Stock
2021-05-06$6172000.00/sh−6,172$38,093,584,000→ 0 total
Exercise: $1.00From: 2022-10-31→ Common Stock (6,172,000 underlying)
Other
Common Stock
2021-05-06$1.00/sh−7,665,000$7,665,000→ 4,467,204 total
Other
Series G-1 Convertible Preferred Stock
2021-05-06$1493000.00/sh+1,493$2,229,049,000→ 1,493 total
Exercise: $1.00From: 2020-10-31→ Common Stock (1,493,000 underlying)
Other
Series G Convertible Preferred Stock
2021-05-06$6172000.00/sh+6,172$38,093,584,000→ 0 total
Exercise: $1.00From: 2022-10-31→ Common Stock (6,172,000 underlying)
Other
Series E-1 Convertible Preferred Stock
2021-05-06$1493000.00/sh−1,493$2,229,049,000→ 1,493 total
Exercise: $1.00From: 2020-10-31→ Common Stock (1,493,000 underlying)

Footnotes (5)

[F1]Pursuant to a reclassification exempt under Rule 16b-7, on May 6, 2021, each share of Series E Convertible Preferred Stock was exchanged by the Reporting Person for one share of newly-issued Series G Convertible Preferred Stock and each share of Series E-1 Convertible Preferred Stock was exchanged by the Reporting Person for one share of newly-issued Series G-1 Convertible Preferred Stock.This transaction is being voluntarily reported on this Form 4.
[F2]Consists of all shares of common stock underlying the Convertible Preferred Stock reported in Table 2.
[F3]Includes 2,068,696 shares owned, 905,508 shares that could be acquired pursuant to presently exercisable warrants, and 1,493,000 shares that would be acquired upon conversion of series G-1 shares owned.
[F4]The Preferred Stock is perpetual and therefore has no expiration date.
[F5]The shares of Series G Preferred Stock owned by the Reporting Person are not convertible into Common Stock until October 31, 2022 so are not included as being beneficially owned.

Documents

1 file