0001394156-20-000018.txt : 20200302 0001394156-20-000018.hdr.sgml : 20200302 20200302121834 ACCESSION NUMBER: 0001394156-20-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200225 FILED AS OF DATE: 20200302 DATE AS OF CHANGE: 20200302 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: 20675592 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: 1227 BUSINESS ADDRESS: STREET 1: 5750 NEW KING DR. STREET 2: SUITE 320 CITY: TROY STATE: MI ZIP: 48098 BUSINESS PHONE: (833) 374-7282 MAIL ADDRESS: STREET 1: 5750 NEW KING DR. STREET 2: SUITE 320 CITY: TROY STATE: MI ZIP: 48098 FORMER COMPANY: FORMER CONFORMED NAME: Diversified Restaurants Holding, Inc. DATE OF NAME CHANGE: 20070322 4 1 wf-form4_158316949793390.xml FORM 4 X0306 4 2020-02-25 1 0001394156 Diversified Restaurant Holdings, Inc. SAUC 0001435209 Dusenberry Jay Alan 5750 NEW KING DRIVE SUITE 320 TROY MI 48098 1 0 0 0 Common Stock 2020-02-25 4 D 0 134499 1.05 D 0 D Disposed of pursuant to merger agreement between the issuer and Patton Wings Intermediate Holdings, LLC for $1.05 per share in cash on the effective date of the merger. /s/ Stacy C. Spence, Attorney-in-Fact 2020-02-25