0001437749-17-013508.txt : 20170801
0001437749-17-013508.hdr.sgml : 20170801
20170801182924
ACCESSION NUMBER: 0001437749-17-013508
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170728
FILED AS OF DATE: 20170801
DATE AS OF CHANGE: 20170801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burke David Gregory
CENTRAL INDEX KEY: 0001435206
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 17997888
MAIL ADDRESS:
STREET 1: 1389 KENTFIELD DRIVE
CITY: ROCHESTER
STATE: MI
ZIP: 48307
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: 1225
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
4
1
rdgdoc.xml
FORM 4
X0306
4
2017-07-28
0001394156
Diversified Restaurant Holdings, Inc.
SAUC
0001435206
Burke David Gregory
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
1
President and CEO
Common Stock
2017-07-28
4
A
0
50000
0
A
258312
D
Common Stock
2017-07-28
4
F
0
2609
2.25
D
255703
D
Common Stock
42201
I
IRA
This transaction reports the disposition of shares to the issuer as a tax withholding in connection with vesting of restricted stock.
/s/ Bradley J. Wyatt, Attorney-in-Fact
2017-08-01