0001179110-13-016856.txt : 20131121
0001179110-13-016856.hdr.sgml : 20131121
20131121173926
ACCESSION NUMBER: 0001179110-13-016856
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131119
FILED AS OF DATE: 20131121
DATE AS OF CHANGE: 20131121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Levy Acquisition Corp
CENTRAL INDEX KEY: 0001585583
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
BUSINESS ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312-267-4190
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levy Family Partners, LLC
CENTRAL INDEX KEY: 0001591723
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 131236205
BUSINESS ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312-267-4190
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Levy Acquisition Sponsor, LLC
CENTRAL INDEX KEY: 0001586898
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 131236206
BUSINESS ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
BUSINESS PHONE: 312-267-4190
MAIL ADDRESS:
STREET 1: 444 NORTH MICHIGAN AVENUE
STREET 2: SUITE 3500
CITY: CHICAGO
STATE: IL
ZIP: 60611
4
1
edgar.xml
FORM 4 -
X0306
4
2013-11-19
0
0001585583
Levy Acquisition Corp
LEVY
0001586898
Levy Acquisition Sponsor, LLC
444 NORTH MICHIGAN AVENUE
SUITE 3500
CHICAGO
IL
60611
0
0
1
0
0001591723
Levy Family Partners, LLC
444 NORTH MICHIGAN AVENUE
SUITE 3500
CHICAGO
IL
60611
0
0
1
0
Common Stock
2013-11-19
4
J
0
553500
0
D
3690000
D
Private Placement Warrants
11.50
2013-11-19
4
P
0
4750000
1.00
A
Common Stock
4750000
4750000
D
Private Placement Warrants
11.50
2013-11-19
4
G
0
60000
0
D
Common Stock
60000
4690000
D
Forfeiture to the Issuer for no consideration because the underwriter for the Issuer's initial public offering did not exercise the over-allotment option.
Includes 922,500 shares which may be forfeited on the 5th anniversary of the Issuer's initial business combination, unless following the initial business combination the last sale price of the Issuer's common stock equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like) for any 20 trading days within any 30-trading day period or the Issuer completes a liquidation, merger, stock exchange or similar transaction that results in all of its stockholders having the right to exchange their shares of common stock for consideration in cash, securities or other property which equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like).
The securities are held directly by Levy Acquisition Sponsor, LLC and indirectly by Levy Family Partners, LLC which is the managing member of Levy Acquisition Sponsor, LLC.
The warrants will become exercisable beginning on the later of one year after issuance or 30 days after the completion of the Issuer's initial business combination.
The warrants expire five years after the completion of the Issuer's initial business combination or earlier upon redemption or liquidation.
/s/ Zachary Swartz, Attorney-in-Fact
2013-11-21
/s/ Zachary Swartz, Attorney-in-Fact
2013-11-21