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