0001493152-21-005509.txt : 20210305 0001493152-21-005509.hdr.sgml : 20210305 20210305204940 ACCESSION NUMBER: 0001493152-21-005509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210225 FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WIEDERHORN ANDREW CENTRAL INDEX KEY: 0001033016 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38250 FILM NUMBER: 21720396 MAIL ADDRESS: STREET 1: C/O WILSHIRE FINANCIAL SERVICES INC STREET 2: 1776 SW MADISON STREET CITY: PORTLAND STATE: OR ZIP: 97205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fog Cutter Holdings, LLC CENTRAL INDEX KEY: 0001838658 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38250 FILM NUMBER: 21720397 BUSINESS ADDRESS: STREET 1: 9720 WILSHIRE BLVD STREET 2: SUITE 500 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 BUSINESS PHONE: (310) 402-0601 MAIL ADDRESS: STREET 1: 9720 WILSHIRE BLVD STREET 2: SUITE 500 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fat Brands, Inc CENTRAL INDEX KEY: 0001705012 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 821302696 STATE OF INCORPORATION: DE FISCAL YEAR END: 1227 BUSINESS ADDRESS: STREET 1: 9720 WILSHIRE BLVD., STREET 2: SUITE 500 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 BUSINESS PHONE: 310-406-0600 MAIL ADDRESS: STREET 1: 9720 WILSHIRE BLVD., STREET 2: SUITE 500 CITY: BEVERLY HILLS STATE: CA ZIP: 90212 4 1 ownership.xml X0306 4 2021-02-25 0 0001705012 Fat Brands, Inc FAT 0001838658 Fog Cutter Holdings, LLC 9720 WILSHIRE BLVD, SUITE 500 BEVERLY HILLS CA 90212 0 0 1 0 0001033016 WIEDERHORN ANDREW 9720 WILSHIRE BLVD., SUITE 500 BEVERLY HILLS, CA 90212 1 1 1 0 CEO Common Stock, par value $0.0001 per share 2021-02-25 4 J 0 1452114 D 7014149 I By Fog Cutter Holdings, LLC Common Stock, par value $0.0001 per share 23332 D On February 25, 2021, Fog Cutter Holdings, LLC completed a distribution in kind to its members of 1,452,114 shares of Common Stock of the Issuer on a pro rata basis in accordance with such members' capital contributions for no additional consideration. These shares are owned directly by Fog Cutter Holdings, LLC, a 10% beneficial owner of the Issuer, and indirectly by Andrew A. Wiederhorn as the sole manager of Fog Cutter Holdings, LLC. These shares are owned directly by Andrew A. Wiederhorn. /s/ Andrew A. Wiederhorn, individually and as Manager 2021-03-05