0001019056-14-000096.txt : 20140127 0001019056-14-000096.hdr.sgml : 20140127 20140127183403 ACCESSION NUMBER: 0001019056-14-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140124 FILED AS OF DATE: 20140127 DATE AS OF CHANGE: 20140127 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DALE JARRETT RACING ADVENTURE INC CENTRAL INDEX KEY: 0001094032 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 593564984 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 116 3RD STREET NW STREET 2: SUITE 302 CITY: HICKORY STATE: NC ZIP: 28601 BUSINESS PHONE: 888-467-2231 MAIL ADDRESS: STREET 1: 116 3RD STREET NW STREET 2: SUITE 302 CITY: HICKORY STATE: NC ZIP: 28601 FORMER COMPANY: FORMER CONFORMED NAME: JARRETT FAVRE DRIVING ADVENTURE INC DATE OF NAME CHANGE: 19990827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brooks Robert CENTRAL INDEX KEY: 0001484267 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27251 FILM NUMBER: 14550178 MAIL ADDRESS: STREET 1: 9 PROSPECT AVENUE CITY: PORT WASHINGTON STATE: NY ZIP: 11050 4 1 brooks_4.xml OWNERSHIP DOCUMENT X0306 4 2014-01-24 0 0001094032 DALE JARRETT RACING ADVENTURE INC DJRT 0001484267 Brooks Robert 9 PROSPECT AVENUE PORT WASHINGTON NY 11050 0 0 1 0 Common Stock 2014-01-24 4 P 0 225 0.035 A 2984343 D Common Stock 2014-01-24 4 S 0 11000 0.045 D 2973343 D /s/ Robert Brooks 2014-01-24