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Holmes John Stephen – ‘3’ for 12/5/16 re: ShiftPixy, Inc.

On:  Thursday, 12/8/16, at 5:20pm ET   ·   For:  12/5/16   ·   As:  10% Owner   ·   Accession #:  1477932-16-13986   ·   File #:  1-37954

Previous ‘3’:  None   ·   Next & Latest:  ‘3/A’ on / for 6/28/17

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

12/08/16  Holmes John Stephen               3          10% Owner   1:5K   ShiftPixy, Inc.                   Discount Edgar/FA

Initial Statement of Beneficial Ownership of Securities   —   Form 3
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial Statement of Beneficial Ownership of        HTML      6K 
                          Securities -- form3.xml/2.6                            





This ‘3’ Document is an XML Data File that may be rendered in various formats:

Form 3  –  Plain Text  –  EDGAR System  –  SEC Website  –  XML Data  –  <?xml?> File
 

 
Plain Text rendering:  Initial Statement of Beneficial Ownership of Securities
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0206
Document Type:  3
Period of Report:  2016- 12/5/07:00
No Securities Owned:  0
Issuer:
Issuer CIK:  1675634
Issuer Name:  ShiftPixy, Inc.
Issuer Trading Symbol:  PIXY
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1686747
Owner Name:  Holmes John Stephen
Reporting Owner Address:
Owner Street 1:  1 VENTURE
Owner Street 2:  SUITE 150
Owner City:  IRVINE
Owner State:  CA
Owner ZIP Code:  92618
Owner State Description:
Reporting Owner Relationship:
Is Director?  No
Is Officer?  No
Is Ten Percent Owner?  Yes
Is Other?  No
Non-Derivative Table:
Non-Derivative Holding:
Security Title:
Value:  Common Stock, par value $0.0001
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  12,500,000
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Derivative Table:
Derivative Holding:
Security Title:
Value:  Option to Acquire Preferred Stock
Conversion or Exercise Price:
Value:  0.0001
Exercise Date:
Footnote ID:  F1
Expiration Date:
Value:  2023- 12/31/07:00
Underlying Security:
Underlying Security Title:
Value:  Preferred Stock
Underlying Security Shares:
Value:  12,500,000
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Footnotes:
Footnote - F1The Option may be exercised only upon the following events: 1. The acquisition of a Controlling interest by a shareholder or shareholders other than Scott Absher or Steve Holmes. "Controlling interest" means the ownership of outstanding voting shares of the Company sufficient to enable the acquiring person, directly or indirectly and individually or in association with others, to exercise one-fifth or more of all the voting power of the Company in the election of directors or any other business matter on which shareholders have the right to vote under Wyoming Law. 2. Prior to any proposed merger, consolidation (in which the Company's common stock is changed or exchanged) or sale of at least 50% of the Company's assets or earning power (other than a reincorporation).
Owner Signature:
Signature Name:  /s/ Stephen Holmes
Signature Date:  2016- 12/7/07:00


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Filing Submission 0001477932-16-013986   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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