0000809248-21-000026.txt : 20210119 0000809248-21-000026.hdr.sgml : 20210119 20210119180346 ACCESSION NUMBER: 0000809248-21-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210115 FILED AS OF DATE: 20210119 DATE AS OF CHANGE: 20210119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HYATT LAWRENCE E CENTRAL INDEX KEY: 0001123013 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33174 FILM NUMBER: 21536736 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CARROLS RESTAURANT GROUP, INC. CENTRAL INDEX KEY: 0000809248 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 161287774 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 968 JAMES STREET CITY: SYRACUSE STATE: NY ZIP: 13203 BUSINESS PHONE: 315-424-0513 MAIL ADDRESS: STREET 1: 968 JAMES STREET CITY: SYRACUSE STATE: NY ZIP: 13203 FORMER COMPANY: FORMER CONFORMED NAME: CARROLS HOLDINGS CORP DATE OF NAME CHANGE: 19870113 4 1 wf-form4_161109741297048.xml FORM 4 X0306 4 2021-01-15 0 0000809248 CARROLS RESTAURANT GROUP, INC. TAST 0001123013 HYATT LAWRENCE E C/O CARROLS RESTAURANT GROUP, INC., 968 JAMES STREET SYRACUSE NY 13203 1 0 0 0 Common Stock, $0.01 par value 2021-01-15 4 A 0 14535 0 A 50914 D The shares were granted to the Reporting Person pursuant to the Issuer's 2016 Stock Incentive Plan. /s/ Lawrence E. Hyatt 2021-01-19