0001614596-19-000002.txt : 20190510 0001614596-19-000002.hdr.sgml : 20190510 20190510184144 ACCESSION NUMBER: 0001614596-19-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190508 FILED AS OF DATE: 20190510 DATE AS OF CHANGE: 20190510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roth John M. CENTRAL INDEX KEY: 0001614596 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36556 FILM NUMBER: 19816413 MAIL ADDRESS: STREET 1: C/O EL POLLO LOCO HOLDINGS, INC. STREET 2: 3535 HARBOR BLVD., SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: El Pollo Loco Holdings, Inc. CENTRAL INDEX KEY: 0001606366 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 203563182 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3535 HARBOR BOULEVARD STREET 2: SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: 7145995000 MAIL ADDRESS: STREET 1: 3535 HARBOR BOULEVARD STREET 2: SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 4 1 wf-form4_155752808997303.xml FORM 4 X0306 4 2019-05-08 0 0001606366 El Pollo Loco Holdings, Inc. LOCO 0001614596 Roth John M. C/O EL POLLO LOCO HOLDINGS, INC. 3535 HARBOR BLVD., SUITE 100 COSTA MESA CA 92626 1 0 0 0 Common Stock 2019-05-08 4 A 0 5232 0 A 13110 D Consists of restricted shares granted under the 2018 Omnibus Equity Incentive Plan, vesting in three equal installments on each of the first three anniversaries of the date of grant. /s/ Edith R. Austin, as attorney-in-fact 2019-05-10