0000914760-16-000442.txt : 20160707 0000914760-16-000442.hdr.sgml : 20160707 20160707173709 ACCESSION NUMBER: 0000914760-16-000442 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160706 FILED AS OF DATE: 20160707 DATE AS OF CHANGE: 20160707 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Del Taco Restaurants, Inc. CENTRAL INDEX KEY: 0001585583 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 949-462-9300 MAIL ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 FORMER COMPANY: FORMER CONFORMED NAME: Levy Acquisition Corp DATE OF NAME CHANGE: 20130830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levy Acquisition Sponsor, LLC CENTRAL INDEX KEY: 0001586898 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 161757329 BUSINESS ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-267-4190 MAIL ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levy Family Partners, LLC CENTRAL INDEX KEY: 0001591723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 161757330 BUSINESS ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-267-4190 MAIL ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 4 1 formfour.xml X0306 4 2016-07-06 0 0001585583 Del Taco Restaurants, Inc. TACO 0001591723 Levy Family Partners, LLC 444 NORTH MICHIGAN AVENUE SUITE 3500 CHICAGO IL 60611 0 0 1 0 0001586898 Levy Acquisition Sponsor, LLC 444 NORTH MICHIGAN AVENUE SUITE 3500 CHICAGO IL 60611 0 0 1 0 Common Stock 2016-07-06 4 J 0 1783781 0 D 2316459 D Private Placement Warrants 11.50 2016-07-06 4 J 0 5049623 0 D Common Stock 5049623 1769652 D Reflects pro rata distribution by Levy Acquisition Sponsor, LLC to its members, in accordance with their membership interests in Levy Acquisition Sponsor, LLC, for no consideration. The transaction is exempt under the Securities and Exchange Act of 1934, as amended (the "Exchange Act"). In the pro rata distribution, Levy Family Partners, LLC, the manager and a member of Levy Acquisition Sponsor, LLC, received 692,459 shares of Common Stock and Warrants to purchase 1,769,652 shares of Common Stock. In addition, upon completion of the distribution, Levy Acquisition Sponsor, LLC ceased to be subject to Section 16 of the Exchange Act. The warrants became exercisable on July 30, 2015 and will expire on June 30, 2020 or earlier upon certain events. /s/ Zachary A. Swartz, Attorney-in-Fact 2016-07-06 /s/ Zachary A. Swartz, Attorney-in-Fact 2016-07-06