0001104659-21-024594.txt : 20210216 0001104659-21-024594.hdr.sgml : 20210216 20210216214027 ACCESSION NUMBER: 0001104659-21-024594 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210212 FILED AS OF DATE: 20210216 DATE AS OF CHANGE: 20210216 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: 21642357 MAIL ADDRESS: STREET 1: 1717 NORTH HERMITAGE AVENUE CITY: CHICAGO STATE: IL ZIP: 60622 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 4 1 tm216727d2_form4.xml FORM 4 X0306 4 2021-02-12 0 0001585583 Del Taco Restaurants, Inc. TACO 0001586916 Levy Ari B. C/O DEL TACO RESTAURANTS, INC. 25521 COMMERCENTRE DRIVE LAKE FOREST CA 92630 1 0 0 0 COMMON STOCK 2021-02-12 4 J 0 1524000 D 1542869 I See footnote COMMON STOCK 492597 D Reflects the pro rata distribution by Levy Family Partners LLC ("LFP") to its members of Common Stock of the Issuer. The Reporting Person is a manager of the manager of LFP. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein. The members of LFP are trusts established for the benefit of the Reporting Person and the children and grandchildren of Lawrence Levy, the father of the Reporting Person and the Chairman of the Board of the Issuer, and an entity owned by Lawrence Levy, the Reporting Person, and another family member. The amount reported as beneficially owned following the reported transaction consists of (i) 1,070,429 shares of Common Stock held by Levy Family Partners LLC, (ii) 457,200 shares of Common Stock which are held in trusts for which Ari Levy is co-trustee, and (iii) 15,240 shares of Common Stock held by LFP Management, LLC, for which Ari Levy shares voting and investment power with other managers of LFP Management, LLC. /s/ Claire Murphy, Attorney-in-Fact 2021-02-16