0000899243-15-000219.txt : 20150702
0000899243-15-000219.hdr.sgml : 20150702
20150702201126
ACCESSION NUMBER: 0000899243-15-000219
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150630
FILED AS OF DATE: 20150702
DATE AS OF CHANGE: 20150702
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Del Taco Restaurants, Inc.
CENTRAL INDEX KEY: 0001585583
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 000000000
FISCAL YEAR END: 1229
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
FORMER COMPANY:
FORMER CONFORMED NAME: Levy Acquisition Corp
DATE OF NAME CHANGE: 20130830
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEVY LAWRENCE F
CENTRAL INDEX KEY: 0001078566
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 15971792
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-06-30
0
0001585583
Del Taco Restaurants, Inc.
TACO
0001078566
LEVY LAWRENCE F
C/O DEL TACO RESTAURANTS, INC.
25521 COMMERCENTRE DRIVE
LAKE FOREST
CA
92630
1
0
0
0
Common Stock
2015-06-30
4
S
0
1906219
0.006
D
1783781
I
See footnote
Common Stock
2015-07-01
4
A
0
1524000
0.00
A
1524000
I
See footnote
Private Placement Warrants
11.50
2015-06-30
4
A
0
389623
1.00
A
2015-07-30
2020-06-30
Common Stock
389623
5049623
I
See footnote
The securities are held directly by Levy Acquisition Sponsor, LLC (the "Sponsor"). The Reporting Person is a manager of Levy Family Partners, LLC ("LFP"), which is the managing member of the Sponsor. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
Pro rata distribution from Levy Epic Acquisition Company II, LLC to LFP, a member of Levy Epic Acquisition Company II, LLC. Levy Epic Acquisition Company II, LLC received shares in connection with the merger agreement between the Issuer and Del Taco Holdings, Inc. The transaction reported is exempt under Rule 16b-3(d) promulgated under the Securities Exchange Act of 1934, as amended..
The securities are held directly by LFP. The Reporting Person is a manager of LFP. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
/s/ Zachary Swartz, Attorney-in-Fact
2015-07-02