0001437749-14-021434.txt : 20141126
0001437749-14-021434.hdr.sgml : 20141126
20141126161217
ACCESSION NUMBER: 0001437749-14-021434
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141124
FILED AS OF DATE: 20141126
DATE AS OF CHANGE: 20141126
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: Ansley T. Michael
CENTRAL INDEX KEY: 0001434679
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 141253922
MAIL ADDRESS:
STREET 1: 21751 W. ELEVEN MILE ROAD
STREET 2: SUITE 208
CITY: SOUTHFIELD
STATE: MI
ZIP: 48076
4
1
rdgdoc.xml
FORM 4
X0306
4
2014-11-24
0001394156
Diversified Restaurant Holdings, Inc.
BAGR
0001434679
Ansley T. Michael
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
1
1
President and CEO
Common Stock
2014-11-24
5
G
0
20000
0
D
11117235
D
Common Stock
9000
I
By reporting person as UGMA custodian for children
The reporting person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
/s/ Bradley J. Wyatt, attorney-in-fact
2014-11-26