0001394156-18-000059.txt : 20180725
0001394156-18-000059.hdr.sgml : 20180725
20180725174154
ACCESSION NUMBER: 0001394156-18-000059
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160728
FILED AS OF DATE: 20180725
DATE AS OF CHANGE: 20180725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NOWICKI JOSEPH M
CENTRAL INDEX KEY: 0001238633
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 18969517
MAIL ADDRESS:
STREET 1: C/O BEACON ROOFING SUPPLY, INC.
STREET 2: 505 HUNTMAR PARK DRIVE SUITE 300
CITY: HERNDON
STATE: VA
ZIP: 20170
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Diversified Restaurant Holdings, Inc.
CENTRAL INDEX KEY: 0001394156
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 030606420
STATE OF INCORPORATION: NV
FISCAL YEAR END: 1225
BUSINESS ADDRESS:
STREET 1: 27680 FRANKLIN ROAD
CITY: SOUTHFIELD
STATE: MI
ZIP: 48034
BUSINESS PHONE: (833) 374-7282
MAIL ADDRESS:
STREET 1: 27680 FRANKLIN ROAD
CITY: SOUTHFIELD
STATE: MI
ZIP: 48034
FORMER COMPANY:
FORMER CONFORMED NAME: Diversified Restaurants Holding, Inc.
DATE OF NAME CHANGE: 20070322
4
1
wf-form4_153255487149435.xml
FORM 4
X0306
4
2016-07-28
0
0001394156
Diversified Restaurant Holdings, Inc.
SAUC
0001238633
NOWICKI JOSEPH M
505 HUNTMAR PARK DRIVE
SUITE 300
HERNDON
VA
20170
1
0
0
0
Option to purchase common stock -- -- Right to Buy '16
2.5
2016-07-28
4
D
0
30000
D
2016-07-31
Common Stock
30000.0
0
D
Option to purchase common stock -- -- Right to Buy '19
2.5
2016-07-28
4
A
0
30000
A
2019-07-31
Common Stock
30000.0
30000
D
The two reported transactions involved an amendment of an outstanding option, resulting in the deemed cancellation of the "old" option with the grant of a replacement option. The option was originally granted on July 31, 2010 and provided for vesting in three equal installments commencing on July, 31, 2011.
/s/ Stacy C. Spence, Attorney-in-Fact
2016-07-28