0001585583-17-000030.txt : 20170530
0001585583-17-000030.hdr.sgml : 20170530
20170530181339
ACCESSION NUMBER: 0001585583-17-000030
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170525
FILED AS OF DATE: 20170530
DATE AS OF CHANGE: 20170530
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: Levy Ari B.
CENTRAL INDEX KEY: 0001586916
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36197
FILM NUMBER: 17878927
MAIL ADDRESS:
STREET 1: 1717 NORTH HERMITAGE AVENUE
CITY: CHICAGO
STATE: IL
ZIP: 60622
4
1
wf-form4_149618240532689.xml
FORM 4
X0306
4
2017-05-25
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
2017-05-25
4
A
0
7740
0
A
18356
D
COMMON STOCK
2501329
I
See footnote
Consists of Restricted Stock granted under the 2015 Omnibus Incentive Plan with 7,740 shares vesting on May 25, 2018.
The securities are held directly by Levy Family Partners, LLC ("LFP"). The Reporting Person is a manager of LFP. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
/s/ Rebecca H. Yang, Attorney-in-Fact
2017-05-30