0001213900-23-041288.txt : 20230518
0001213900-23-041288.hdr.sgml : 20230518
20230518203107
ACCESSION NUMBER: 0001213900-23-041288
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230517
FILED AS OF DATE: 20230518
DATE AS OF CHANGE: 20230518
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: 23937730
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
ownership.xml
X0407
4
2023-05-17
0
0001534992
Fiesta Restaurant Group, Inc.
FRGI
0001341991
Montgomery Dirk A
C/O FIESTA RESTAURANT GROUP, INC.
14800 LANDMARK BOULEVARD, SUITE 500
DALLAS
TX
75254
0
1
0
0
President and CEO
0
Common Stock, par value $0.01 per share
2023-05-17
4
A
0
65190
0
A
282771
D
The Shares were granted to the Reporting Person under the Issuer's 2021 Stock Incentive Plan.
/s/ Dirk Montgomery
2023-05-18