0001179110-13-016858.txt : 20131121
0001179110-13-016858.hdr.sgml : 20131121
20131121174123
ACCESSION NUMBER: 0001179110-13-016858
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131017
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: Simon Marc Steven
CENTRAL INDEX KEY: 0001587085
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 131236210
MAIL ADDRESS:
STREET 1: 159 EAST WALTON STREET
STREET 2: UNIT 19-B
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
edgar.xml
FORM 4 -
X0306
4
2013-10-17
0
0001585583
Levy Acquisition Corp
LEVY
0001587085
Simon Marc Steven
444 NORTH MICHIGAN AVENUE
SUITE 3500
CHICAGO
IL
60611
1
0
0
0
Common Stock
2013-10-17
4
P
0
17250
0.006
A
17250
D
Common Stock
2013-11-19
4
J
0
2250
0
D
15000
D
Common Stock
2013-11-19
4
P
0
10000
A
10000
D
Private Placement Warrants
11.50
2013-11-19
4
G
0
15000
0
A
Common Stock
15000
15000
D
Public Warrants
11.50
2013-11-19
4
P
0
5000
A
Common Stock
5000
5000
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 3,750 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 reported securities are included in Units purchased in the Issuer's initial public offering for $10.00 per Unit. Each Unit consists of one share of Common Stock and one-half of one warrant. Each whole warrant entitles the holder to purchase one share of Common Stock at an exercise price of $11.50 per share.
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.
10,000 shares are held by Marc S. Simon and Marcy Simon as joint tenants.
/s/ Zachary Swartz, Attorney-in-Fact
2013-11-21