0001179110-13-016862.txt : 20131121
0001179110-13-016862.hdr.sgml : 20131121
20131121174242
ACCESSION NUMBER: 0001179110-13-016862
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131017
FILED AS OF DATE: 20131121
DATE AS OF CHANGE: 20131121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Levy Acquisition Corp
CENTRAL INDEX KEY: 0001585583
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
BUSINESS ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312-267-4190
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BERNICK HOWARD B
CENTRAL INDEX KEY: 0001027733
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0531
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 131236216
MAIL ADDRESS:
STREET 1: 1100 N WOOD DALE RD
CITY: WOOD DALE
STATE: IL
ZIP: 60191
4
1
edgar.xml
FORM 4 -
X0306
4
2013-10-17
0
0001585583
Levy Acquisition Corp
LEVY
0001027733
BERNICK HOWARD B
444 NORTH MICHIGAN AVENUE
SUITE 3500
CHICAGO
IL
60611
1
0
0
0
Common Stock
2013-10-17
4
P
0
17250
0.006
A
17250
D
Common Stock
2013-11-19
4
J
0
2250
0
D
15000
D
Common Stock
2013-11-19
4
P
0
15000
A
15000
I
See footnote.
Private Placement Warrants
11.50
2013-11-19
4
G
0
15000
0
A
Common Stock
15000
15000
D
Public Warrants
11.50
2013-11-19
4
P
0
7500
A
Common Stock
7500
7500
I
See footnote.
Forfeiture to the Issuer for no consideration because the underwriter for the Issuer's initial public offering did not exercise the over-allotment option.
Includes 3,750 shares which may be forfeited on the 5th anniversary of the Issuer's initial business combination, unless following the initial business combination the last sale price of the Issuer's common stock equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like) for any 20 trading days within any 30-trading day period or the Issuer completes a liquidation, merger, stock exchange or similar transaction that results in all of its stockholders having the right to exchange their shares of common stock for consideration in cash, securities or other property which equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like).
The reported securities are included in Units purchased in the Issuer's initial public offering for $10.00 per Unit. Each Unit consists of one share of Common Stock and one-half of one warrant. Each whole warrant entitles the holder to purchase one share of Common Stock at an exercise price of $11.50 per share.
The warrants will become exercisable beginning on the later of one year after issuance or 30 days after the completion of the Issuer's initial business combination.
The warrants expire five years after the completion of the Issuer's initial combination or earlier upon redemption or liquidation.
Held by Howard B. Bernick Revocable Trust dated April 23, 1993.
/s/ Zachary Swartz, Attorney-in-Fact
2013-11-21