0001394156-19-000035.txt : 20190529
0001394156-19-000035.hdr.sgml : 20190529
20190529104211
ACCESSION NUMBER: 0001394156-19-000035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190524
FILED AS OF DATE: 20190529
DATE AS OF CHANGE: 20190529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dusenberry Jay Alan
CENTRAL INDEX KEY: 0001435209
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35881
FILM NUMBER: 19860255
MAIL ADDRESS:
STREET 1: 7236 AUDUBON
CITY: CLAY TOWNSHIP
STATE: MI
ZIP: 48307
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_155914091597270.xml
FORM 4
X0306
4
2019-05-24
0
0001394156
Diversified Restaurant Holdings, Inc.
SAUC
0001435209
Dusenberry Jay Alan
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
0
0
0
Common Stock
2019-05-24
4
F
0
6897
0.88
D
91833
D
This transaction reports the disposition of shares to the issuer as a tax withholding in connection with vesting of restricted stock.
/s/ Stacy C. Spence, Attorney-in-Fact
2019-05-24