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