0000914760-16-000459.txt : 20160810
0000914760-16-000459.hdr.sgml : 20160810
20160810210229
ACCESSION NUMBER: 0000914760-16-000459
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160808
FILED AS OF DATE: 20160810
DATE AS OF CHANGE: 20160810
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 Ari B.
CENTRAL INDEX KEY: 0001586916
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 161822778
MAIL ADDRESS:
STREET 1: 1717 NORTH HERMITAGE AVENUE
CITY: CHICAGO
STATE: IL
ZIP: 60622
4
1
formfour.xml
X0306
4
2016-08-08
0
0001585583
Del Taco Restaurants, Inc.
TACO
0001586916
Levy Ari B.
444 NORTH MICHIGAN AVENUE
CHICAGO
IL
60611
1
0
1
0
Common Stock
2016-08-08
4
A
0
184870
0
A
2501329
I
See Footnote
Common Stock
10616
D
Private Placement Warrants
11.50
2016-08-08
4
D
0
665000
D
Common Stock
665000
1104652
I
See Footnote
The Reporting Person exchanged 665,000 warrants to purchase Common Stock for 184,870 shares of Common Stock in an exchange offer conducted by the Issuer. The Reporting Person disclaims beneficial ownership of the securities listed as indirectly owned by the Reporting Person except to the extent of his pecuniary interest therein. The transactions reported in this Form 4 are exempt under Rule 16b-3.
The warrants became exercisable on July 30, 2015 and will expire on June 30, 2020 or earlier upon certain events.
/s/ Claire Murphy, Attorney-in-Fact
2016-08-10