X0306 4 2016-02-15 1 0001445918 Southern Concepts Restaurant Group, Inc. RIBS 0001005645 ROTH JAY W 2 NORTH CASCADE STE 1400 COLORADO SPRINGS CO 80903 0 0 0 1 No longer a reporting person Common Stock 2016-02-15 4 G 0 250000 D 1932427 D Warrants 2016-02-15 4 J 0 200000 D Common Stock 200000 0 D Stock Options 2016-02-15 4 J 0 729707 D Common Stock 729707 0 D Warrants 0.10 2016-02-15 4 G 0 5000000 0.10 D 2015-12-31 2019-12-31 Common Stock 5000000 0 D Mr. Roth gifted common shares on 2/15/16. Represents the forfeiture of warrants to the reporting person to purchase 200,000 common shares of Company common stock exercisable at $1 per share. Mr. Roth forfeited these warrants on 2/15/2016. Represents the forfeiture of options to purchase 729,707 common shares of Company stock exercisable at $0.0685 per share. Mr. Roth forfeited these options on 2/15/16. /s/ Jay W. Roth 2016-02-16