0001437749-15-017399.txt : 20150916
0001437749-15-017399.hdr.sgml : 20150916
20150916180517
ACCESSION NUMBER: 0001437749-15-017399
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150914
FILED AS OF DATE: 20150916
DATE AS OF CHANGE: 20150916
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: 151111036
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
2015-09-14
0001394156
Diversified Restaurant Holdings, Inc.
BAGR
0001434679
Ansley T. Michael
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
1
1
President and CEO
Common Stock
2015-09-14
4
P
0
1000
2.762
A
11118235
D
Common Stock
9000
I
By reporting person as UGMA custodian for children
The purchase reported on this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 9, 2015.
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.74 to $2.78, inclusive. The reporting person undertakes to provide to Diversified Restaurant Holdings, Inc., any security holder of Diversified Restaurant Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in the preceding sentence.
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
2015-09-16