0000899243-19-023263.txt : 20190910 0000899243-19-023263.hdr.sgml : 20190910 20190910165734 ACCESSION NUMBER: 0000899243-19-023263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190909 FILED AS OF DATE: 20190910 DATE AS OF CHANGE: 20190910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Montgomery Dirk A CENTRAL INDEX KEY: 0001341991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35373 FILM NUMBER: 191085905 MAIL ADDRESS: STREET 1: C/O HEALTH INSURANCE INNOVATIONS, INC. STREET 2: 15438 N. FLORIDA AVE., SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fiesta Restaurant Group, Inc. CENTRAL INDEX KEY: 0001534992 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 900712224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 BUSINESS PHONE: 972-702-9300 MAIL ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-09-09 0 0001534992 Fiesta Restaurant Group, Inc. FRGI 0001341991 Montgomery Dirk A C/O FIESTA RESTAURANT GROUP, INC. 14800 LANDMARK BOULEVARD, SUITE 500 DALLAS TX 75254 0 1 0 0 SVP, CFO and Treasurer Common Stock, par value $0.01 per share 2019-09-09 4 A 0 20000 0.00 A 20000 D The Shares were granted to the Reporting Person under the Issuer's 2012 Stock Incentive Plan. The stock award reported herein shall vest in two equal installments: (i) 50% on September 9, 2021 and (ii) the remaining 50% on September 9, 2023. /s/ Dirk Montgomery 2019-09-10