0000899243-15-000223.txt : 20150702 0000899243-15-000223.hdr.sgml : 20150702 20150702201646 ACCESSION NUMBER: 0000899243-15-000223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150630 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Del Taco Restaurants, Inc. CENTRAL INDEX KEY: 0001585583 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 000000000 FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312-267-4190 MAIL ADDRESS: STREET 1: 444 NORTH MICHIGAN AVENUE STREET 2: SUITE 3500 CITY: CHICAGO STATE: IL ZIP: 60611 FORMER COMPANY: FORMER CONFORMED NAME: Levy Acquisition Corp DATE OF NAME CHANGE: 20130830 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Levy Ari B. CENTRAL INDEX KEY: 0001586916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 15971799 MAIL ADDRESS: STREET 1: 1717 NORTH HERMITAGE AVENUE CITY: CHICAGO STATE: IL ZIP: 60622 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-30 0 0001585583 Del Taco Restaurants, Inc. TACO 0001586916 Levy Ari B. C/O DEL TACO RESTAURANTS, INC. 25521 COMMERCENTRE DRIVE LAKE FOREST CA 92630 1 0 0 0 Common Stock 2015-06-30 4 S 0 1906219 0.006 D 1783781 I See footnote. Common Stock 2015-07-01 4 A 0 291000 0.00 A 291000 I See footnote. Common Stock 2015-07-01 4 A 0 1524000 0.00 A 1524000 I See footnote. Private Placement Warrants 11.50 2015-06-30 4 A 0 389623 1.00 A 2015-07-30 2020-06-30 Common Stock 389623 5049623 I See footnote. The securities are held directly by Levy Acquisition Sponsor, LLC (the "Sponsor"). The Reporting Person is a manager of Levy Family Partners, LLC ("LFP"), which is the managing member of the Sponsor. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein. Pro rata distribution from Levy Epic Acquisition Company, LLC to SABA Investment Partners, LLC, a member of Levy Epic Acquisition Company, LLC. Levy Epic Acquisition Company, LLC received shares in connection with the merger agreement between the Issuer and Del Taco Holdings, Inc. The transaction reported is exempt under Rule 16b-3(d) promulgated under the Securities Exchange Act of 1934, as amended. The securities are held directly by SABA Investment Partners, LLC. The Reporting Person is an executive officer of SABA Investment Partners, LLC. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein. Pro rata distribution from Levy Epic Acquisition Company II, LLC to LFP, a member of Levy Epic Acquisition Company II, LLC. Levy Epic Acquisition Company II, LLC received shares in connection with the merger agreement between the Issuer and Del Taco Holdings, Inc. The transaction reported is exempt under Rule 16b-3(d) promulgated under the Securities Exchange Act of 1934, as amended. The securities are held directly by LFP. The Reporting Person is a manager of LFP. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein. /s/ Zachary Swartz, Attorney-in-Fact 2015-07-02