0001179110-13-016877.txt : 20131121
0001179110-13-016877.hdr.sgml : 20131121
20131121205838
ACCESSION NUMBER: 0001179110-13-016877
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131119
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: LEVY LAWRENCE F
CENTRAL INDEX KEY: 0001078566
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 131236650
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
4
1
edgar.xml
FORM 4 -
X0306
4
2013-11-19
0
0001585583
Levy Acquisition Corp
LEVY
0001078566
LEVY LAWRENCE F
444 NORTH MICHIGAN AVENUE
SUITE 3500
CHICAGO
IL
60611
1
1
1
0
Chairman and CEO
Private Placement Warrants
11.50
2013-11-19
4
G
0
30000
0
D
Common Stock
30000
4660000
I
See footnote.
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 business combination or earlier upon redemption or liquidation.
The securities are held directly by Levy Acquisition Sponsor, LLC. The Reporting Person is a manager of Levy Family Partners, LLC, which is the managing member of Levy Acquisition Sponsor, LLC. 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
2013-11-21