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