0000809248-21-000042.txt : 20210217 0000809248-21-000042.hdr.sgml : 20210217 20210217170408 ACCESSION NUMBER: 0000809248-21-000042 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210215 FILED AS OF DATE: 20210217 DATE AS OF CHANGE: 20210217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hauch Carl S CENTRAL INDEX KEY: 0001518979 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33174 FILM NUMBER: 21645876 MAIL ADDRESS: STREET 1: ADVANCE AUTO PARTS, INC STREET 2: 5008 AIRPORT RD CITY: ROANOKE STATE: VA ZIP: 24012 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 3 1 wf-form3_161359938668397.xml FORM 3 X0206 3 2021-02-15 0 0000809248 CARROLS RESTAURANT GROUP, INC. TAST 0001518979 Hauch Carl S C/O CARROLS RESTAURANT GROUP, INC. 968 JAMES STREET SYRACUSE NY 13023 0 1 0 0 VP and COO Common Stock, $0.01 par value 0 D /s/ Carl Hauch 2021-02-16