0001181431-12-042396.txt : 20120727 0001181431-12-042396.hdr.sgml : 20120727 20120727103439 ACCESSION NUMBER: 0001181431-12-042396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120727 FILED AS OF DATE: 20120727 DATE AS OF CHANGE: 20120727 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Young Michael Roger CENTRAL INDEX KEY: 0001553519 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35603 FILM NUMBER: 12989193 MAIL ADDRESS: STREET 1: 1623 TOOMEY ROAD CITY: AUSTIN STATE: TX ZIP: 78704 FORMER NAME: FORMER CONFORMED NAME: Young Michael R. DATE OF NAME CHANGE: 20120703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHUY'S HOLDINGS, INC. CENTRAL INDEX KEY: 0001524931 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 205717694 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1623 TOOMEY ROAD CITY: AUSTIN STATE: TX ZIP: 78704 BUSINESS PHONE: 512-473-2783 MAIL ADDRESS: STREET 1: 1623 TOOMEY ROAD CITY: AUSTIN STATE: TX ZIP: 78704 4 1 rrd351686.xml FORM 4 X0306 4 2012-07-27 0 0001524931 CHUY'S HOLDINGS, INC. CHUY 0001553519 Young Michael Roger 1623 TOOMEY ROAD AUSTIN TX 78704 1 0 1 1 Member of 10% Owner Group Common Stock 2012-07-27 4 C 0 834934 0 A 834934 I See footnote Common Stock 2012-07-27 4 C 0 60604 0 A 895538 I See footnote Series B Preferred Stock 2012-07-27 4 C 0 834934 0 D Common Stock 834934 0 I See footnote Series X Preferred Stock 2012-07-27 4 C 0 60604 0 D Common Stock 60604 0 I See footnote Represents shares beneficially owned by MY/ZP Equity, LP ("MY/ZP Equity"), an entity in which Mr. Young is a limited partner. MY/ZP GP, LLC ("MY/ZP GP") is the sole general partner of MY/ZP Equity. Mr. Young, as trustee of the Young Descendants' Trust, is a member of MY/ZP GP and has voting and dispositive power of the shares and may be deemed to indirectly beneficially own the shares. Mr. Young disclaims beneficial ownership of the shares held by MY/ZP Equity. The series B preferred stock converted into common stock of Chuy's Holdings, Inc. (the "Company") on a one-for-one basis immediately prior to the closing of the Company's initial public offering. The series B preferred stock had no expiration date. The series X preferred stock converted into common stock of the Company on a one-for-one basis immediately prior to the closing of the Company's initial public offering. The series X preferred stock had no expiration date. /s/ Sharon Russell, attorney-in-fact 2012-07-27