0000899243-17-020349.txt : 20170815 0000899243-17-020349.hdr.sgml : 20170815 20170815162645 ACCESSION NUMBER: 0000899243-17-020349 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170815 FILED AS OF DATE: 20170815 DATE AS OF CHANGE: 20170815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH JACK A CENTRAL INDEX KEY: 0001018584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35373 FILM NUMBER: 171034206 MAIL ADDRESS: STREET 1: 5900 LAKE ELLENOR DRIVE CITY: ORLANDO STATE: FL ZIP: 32809 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fiesta Restaurant Group, Inc. CENTRAL INDEX KEY: 0001534992 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 900712224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 BUSINESS PHONE: 972-702-9300 MAIL ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-08-15 0 0001534992 Fiesta Restaurant Group, Inc. FRGI 0001018584 SMITH JACK A 2875 NE 191ST STREET, SUITE 402 AVENTURA FL 33180 1 0 0 0 Common Stock, par value $0.01 per share 2017-08-15 4 P 0 1000 18.38 A 48041 D /s/ Jack A. Smith 2017-08-15