0001437749-15-001326.txt : 20150127
0001437749-15-001326.hdr.sgml : 20150127
20150127181306
ACCESSION NUMBER: 0001437749-15-001326
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151228
FILED AS OF DATE: 20150127
DATE AS OF CHANGE: 20150127
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: Curtis Jason T.
CENTRAL INDEX KEY: 0001435207
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 15552751
MAIL ADDRESS:
STREET 1: 8789 HEIDI DRIVE
CITY: STERLING HEIGHTS
STATE: MI
ZIP: 48310
5
1
rdgdoc.xml
FORM 5
X0306
5
2015-12-28
0
0
0001394156
Diversified Restaurant Holdings, Inc.
BAGR
0001435207
Curtis Jason T.
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
COO
Common Stock
2014-05-20
5
G
0
35000
0
D
877438
D
/s/ Bradley J. Wyatt, Attorney-in-Fact
2015-01-27