0000914760-16-000460.txt : 20160810 0000914760-16-000460.hdr.sgml : 20160810 20160810210304 ACCESSION NUMBER: 0000914760-16-000460 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: Melman R. J. CENTRAL INDEX KEY: 0001647103 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 161822780 MAIL ADDRESS: STREET 1: C/O DEL TACO RESTAURANTS, INC. STREET 2: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 4 1 formfour.xml X0306 4 2016-08-08 0 0001585583 Del Taco Restaurants, Inc. TACO 0001647103 Melman R. J. C/O DEL TACO RESTAURANTS, INC. 25521 COMMERCENTRE DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2016-08-08 4 A 0 695 0 A 5695 I Held in an investment trust Common stock 21232 D Private Placement Warrants 11.50 2016-08-08 4 D 0 2500 D Common Stock 2500 0 I Held in an investment trust The Reporting Person exchanged 2,500 Warrants for 695 shares of Common Stock in an exchange offer conducted by the Issuer. The Warrants became exercisable on July 30, 2015 and will expire on June 30, 2020 or earlier upon certain events. /s/ Rebecca H. Yang, Attorney-in-Fact 2016-08-10