0000899243-15-000239.txt : 20150702 0000899243-15-000239.hdr.sgml : 20150702 20150702210855 ACCESSION NUMBER: 0000899243-15-000239 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: Brake Steven L. CENTRAL INDEX KEY: 0001646735 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36197 FILM NUMBER: 15971890 MAIL ADDRESS: STREET 1: C/O DEL TACO RESTAURANTS, INC. STREET 2: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-30 0 0001585583 Del Taco Restaurants, Inc. TACO 0001646735 Brake Steven L. C/O DEL TACO RESTAURANTS, INC. 25521 COMMERCENTRE DRIVE LAKE FOREST CA 92630 0 1 0 0 EVP & Chief Financial Officer Common Stock 2015-06-30 4 A 0 84822 A 84822 D Common Stock 2015-06-30 4 A 0 31875 0.00 A 116697 D Received in exchange for shares of common stock in Del Taco Holdings, Inc. ("DTH") in connection with the business combination between DTH and the issuer on June 30, 2015. Pursuant to Restricted Stock that will vest in three equal annual installments, beginning on June 30, 2016. /s/ Zachary Swartz, Attorney-in-Fact 2015-07-02