0001585583-21-000055.txt : 20210716 0001585583-21-000055.hdr.sgml : 20210716 20210716180907 ACCESSION NUMBER: 0001585583-21-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210714 FILED AS OF DATE: 20210716 DATE AS OF CHANGE: 20210716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Luey Karen L CENTRAL INDEX KEY: 0001346619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 211096460 MAIL ADDRESS: STREET 1: JAMBA, INC. STREET 2: 6475 CHRISTIE AVENUE, SUITE 150 CITY: EMERYVILLE STATE: CA ZIP: 94608 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Del Taco Restaurants, Inc. CENTRAL INDEX KEY: 0001585583 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 949-462-9300 MAIL ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 FORMER COMPANY: FORMER CONFORMED NAME: Levy Acquisition Corp DATE OF NAME CHANGE: 20130830 4 1 wf-form4_162647333200278.xml FORM 4 X0306 4 2021-07-14 0 0001585583 Del Taco Restaurants, Inc. TACO 0001346619 Luey Karen L C/O DEL TACO RESTAURANTS, INC. 25521 COMMERCENTRE DRIVE LAKE FOREST CA 92630 1 0 0 0 COMMON STOCK 2021-07-14 4 A 0 6484 0 A 6484 D Consists of Restricted Stock grant under the 2015 Omnibus Incentive Plan with 6,484 shares vesting on May 27, 2022. /s/ Rebecca H. Yang, Attorney-in-Fact 2021-07-16