0001394156-19-000031.txt : 20190515 0001394156-19-000031.hdr.sgml : 20190515 20190515132844 ACCESSION NUMBER: 0001394156-19-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190430 FILED AS OF DATE: 20190515 DATE AS OF CHANGE: 20190515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Curtis Jason T. CENTRAL INDEX KEY: 0001435207 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35881 FILM NUMBER: 19826821 MAIL ADDRESS: STREET 1: 27680 FRANKLIN RD. CITY: SOUTHFIELD STATE: MI ZIP: 48034 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: 1230 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_155794131013842.xml FORM 4 X0306 4 2019-04-30 0 0001394156 Diversified Restaurant Holdings, Inc. SAUC 0001435207 Curtis Jason T. 27680 FRANKLIN ROAD SOUTHFIELD MI 48034 0 1 0 0 COO Common Stock 2019-04-30 4 G 0 100000 0 D 1077511 D Common Stock 2019-05-01 4 G 0 50000 0 D 1027511 D The reporting person did not previously report this transaction due to an administrative oversight. /s/ Stacy C. Spence, Attorney-in-Fact 2019-05-15