0001437749-16-033369.txt : 20160606
0001437749-16-033369.hdr.sgml : 20160606
20160606185111
ACCESSION NUMBER: 0001437749-16-033369
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160602
FILED AS OF DATE: 20160606
DATE AS OF CHANGE: 20160606
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: Stevens Gregory J.
CENTRAL INDEX KEY: 0001435211
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 161699652
MAIL ADDRESS:
STREET 1: 3872 WALNUT BROOK
CITY: ROCHESTER HILLS
STATE: MI
ZIP: 48309
4
1
rdgdoc.xml
FORM 4
X0306
4
2016-06-02
0001394156
Diversified Restaurant Holdings, Inc.
SAUC
0001435211
Stevens Gregory J.
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
Common Stock
2016-06-02
4
A
0
20915
0
A
279642
D
/s/ Bradley J. Wyatt, Attorney-in-Fact
2016-06-06
EX-24
2
poastevens.txt
POA - STEVENS
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned hereby makes, constitutes
and appoints Michael T. Raymond, Bradley J. Wyatt, and Zane S. Hatahet
as the undersigned's true and lawful attorneys-in-fact, with full power
and authority as hereinafter described on behalf of and in the name,
place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5
(including any amendments thereto) with respect to the securities
of Diversified Restaurant Holdings, Inc., a Nevada corporation
(the "Company"), with the United States Securities and Exchange
Commission, any national securities exchanges and the Company,
as considered necessary or advisable under Section 16(a) of the
Securities Exchange Act of 1934 and the rules and regulations
promulgated thereunder, as amended from time to time
(the "Exchange Act");
(2) seek or obtain, as the undersigned's representatives and
on the undersigned's behalf, information on transactions in the
Company's securities from any third party, including
brokers, employee benefit plan administrators and trustees,
and the undersigned hereby authorizes any such person to
release any such information to such attorneys-in-fact and
approves and ratifies any such release of information; and
(3) perform any and all other acts which in the discretion of
such attorneys-in-fact are necessary or desirable for and
on behalf of the undersigned in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require,
such attorneys-in-fact to act in their discretion on information
provided to such attorneys-in-fact without independent
verification of such information;
(2) any documents prepared and/or executed by such
attorneys-in-fact on behalf of the undersigned pursuant to this
Power of Attorney will be in such form and will contain such
information and disclosure as such attorneys-in-fact, in their
discretion, deem necessary or desirable;
(3) neither the Company nor such attorneys-in-fact assumes
(i) any liability for the undersigned's responsibility to
comply with the requirement of the Exchange Act,
(ii) any liability of the undersigned
for any failure to comply with such requirements, or
(iii) any obligation or liability of the undersigned for profit
disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned
from responsibility for compliance with the undersigned's
obligations under the Exchange Act, including without
limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants the foregoing
attorneys-in-fact full power and authority to do and
perform all and every act and thing whatsoever requisite,
necessary or appropriate to be done in and about the
foregoing matters as fully to all intents and purposes as
the undersigned might or could do if present, hereby
ratifying all that such attorneys-in-fact of, for and on
behalf of the undersigned, shall lawfully do or cause
to be done by virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and
effect until revoked by the undersigned in a signed
writing delivered to such attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused
this Power of Attorney to be executed as of this
2nd day of June, 2016.
By: /s/ Gregory Stevens
Print Name: Gregory Stevens
STATE OF Michigan
COUNTY OF Wayne
On this 2nd day of June, 2016, Gregory Stevens
personally appeared before me, and acknowledged
that he executed the foregoing instrument for the
purposes therein contained.
IN WITNESS WHEREOF, I have hereunto
set my hand and official seal.
/s/ Kathleen Marie Howe
Notary Public, State of Michigan
County of Wayne
My Commission Expires 05-22-2017