0001437749-14-012954.txt : 20140718
0001437749-14-012954.hdr.sgml : 20140718
20140718093146
ACCESSION NUMBER: 0001437749-14-012954
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140716
FILED AS OF DATE: 20140718
DATE AS OF CHANGE: 20140718
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diversified Restaurant Holdings, Inc.
CENTRAL INDEX KEY: 0001394156
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 030606420
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1227
BUSINESS ADDRESS:
STREET 1: 27680 FRANKLIN ROAD
CITY: SOUTHFIELD
STATE: MI
ZIP: 48034
BUSINESS PHONE: (248) 223-9160
MAIL ADDRESS:
STREET 1: 27680 FRANKLIN ROAD
CITY: SOUTHFIELD
STATE: MI
ZIP: 48034
FORMER COMPANY:
FORMER CONFORMED NAME: Diversified Restaurants Holding, Inc.
DATE OF NAME CHANGE: 20070322
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dusenberry Jay Alan
CENTRAL INDEX KEY: 0001435209
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 14981817
MAIL ADDRESS:
STREET 1: 7236 AUDUBON
CITY: CLAY TOWNSHIP
STATE: MI
ZIP: 48307
4
1
rdgdoc.xml
FORM 4
X0306
4
2014-07-16
0001394156
Diversified Restaurant Holdings, Inc.
BAGR
0001435209
Dusenberry Jay Alan
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
Common Stock
2014-07-16
4
A
0
4048
0
A
25772
D
/s/ Bradley J. Wyatt, attorney-in-fact
2014-07-18