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