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