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