0000809248-23-000137.txt : 20231219 0000809248-23-000137.hdr.sgml : 20231219 20231219160431 ACCESSION NUMBER: 0000809248-23-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231215 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cross Richard G CENTRAL INDEX KEY: 0001574549 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33174 FILM NUMBER: 231497262 MAIL ADDRESS: STREET 1: 968 JAMES STREET CITY: SYRACUSE STATE: NY ZIP: 13203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CARROLS RESTAURANT GROUP, INC. CENTRAL INDEX KEY: 0000809248 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1703019856.xml FORM 4 X0508 4 2023-12-15 0 0000809248 CARROLS RESTAURANT GROUP, INC. TAST 0001574549 Cross Richard G C/O CARROLS RESTAURANT GROUP, INC. 968 JAMES STREET SYRACUSE NY 13203 0 1 0 0 VP, Chief Development Officer 0 Common Stock, $0.01 par value 2023-12-15 4 A 0 7 0 A 277186 D Represents restricted stock units issued to the Reporting Person under the Issuer's 2016 Stock Incentive Plan, as amended and restated, as dividend equivalents in connection with a regular quarterly cash dividend in the amount of $0.02 per share paid by the issuer on December 15, 2023. The restricted stock units will be subject to the same terms and conditions, including, without limitation, vesting, as the underlying restricted stock units previously issued to the Reporting Person. /s/ Richard Cross 2023-12-19