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