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