0001140361-23-050798.txt : 20231101 0001140361-23-050798.hdr.sgml : 20231101 20231101144515 ACCESSION NUMBER: 0001140361-23-050798 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231030 FILED AS OF DATE: 20231101 DATE AS OF CHANGE: 20231101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Montgomery Dirk A CENTRAL INDEX KEY: 0001341991 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35373 FILM NUMBER: 231367737 MAIL ADDRESS: STREET 1: C/O HEALTH INSURANCE INNOVATIONS, INC. STREET 2: 15438 N. FLORIDA AVE., SUITE 201 CITY: TAMPA STATE: FL ZIP: 33613 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fiesta Restaurant Group, Inc. CENTRAL INDEX KEY: 0001534992 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 900712224 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 BUSINESS PHONE: 972-702-9300 MAIL ADDRESS: STREET 1: 14800 LANDMARK BOULEVARD, SUITE 500 CITY: DALLAS STATE: TX ZIP: 75254 4 1 form4.xml X0508 4 2023-10-30 true 0001534992 Fiesta Restaurant Group, Inc. FRGI 0001341991 Montgomery Dirk A C/O FIESTA RESTAURANT GROUP, INC. 14800 LANDMARK BOULEVARD, SUITE 500 DALLAS TX 75254 true President and CEO false Common Stock, par value $0.01 per share 2023-10-30 4 D 0 282771 8.5 D 0 D Disposed of pursuant to the Agreement and Plan of Merger, dated as of August 6, 2023, by and among the Issuer, Fiesta Holdings, LLC, a Delaware limited liability company ("Parent"), and Fiesta Merger Sub, LLC, a Delaware limited liability company and a wholly owned subsidiary of Parent, in exchange for cash consideration of $8.50 per share of common stock of the Issuer on the effective date of the merger. By: /s/ Dirk Montgomery 2023-11-01