0001437749-17-013500.txt : 20170801
0001437749-17-013500.hdr.sgml : 20170801
20170801181758
ACCESSION NUMBER: 0001437749-17-013500
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170728
FILED AS OF DATE: 20170801
DATE AS OF CHANGE: 20170801
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: 17997858
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: 1225
BUSINESS ADDRESS:
STREET 1: 27680 FRANKLIN ROAD
CITY: SOUTHFIELD
STATE: MI
ZIP: 48034
BUSINESS PHONE: (248) 223-9160
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
rdgdoc.xml
FORM 4
X0306
4
2017-07-28
0001394156
Diversified Restaurant Holdings, Inc.
SAUC
0001435209
Dusenberry Jay Alan
27680 FRANKLIN ROAD
SOUTHFIELD
MI
48034
1
Common Stock
2017-07-28
4
A
0
14222
0
A
73344
D
Common Stock
2015-07-16
4
F
0
1012
4.39
D
72332
D
Common Stock
2016-05-23
4
F
0
1188
1.57
D
71144
D
This transaction reports the disposition of shares to the issuer as a tax withholding in connection with vesting of restricted stock. It is being reported late due to an administrative oversight.
/s/ Bradley J. Wyatt, Attorney-in-Fact
2017-08-01