0001585583-22-000022.txt : 20220310 0001585583-22-000022.hdr.sgml : 20220310 20220310214658 ACCESSION NUMBER: 0001585583-22-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220308 FILED AS OF DATE: 20220310 DATE AS OF CHANGE: 20220310 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: 22730981 MAIL ADDRESS: STREET 1: C/O DEL TACO RESTAURANTS, INC. STREET 2: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Del Taco Restaurants, Inc. CENTRAL INDEX KEY: 0001585583 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 949-462-9300 MAIL ADDRESS: STREET 1: 25521 COMMERCENTRE DRIVE CITY: LAKE FOREST STATE: CA ZIP: 92630 FORMER COMPANY: FORMER CONFORMED NAME: Levy Acquisition Corp DATE OF NAME CHANGE: 20130830 4 1 wf-form4_164696679771225.xml FORM 4 X0306 4 2022-03-08 1 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 2022-03-08 4 D 0 305722 12.51 D 0 D Stock Option (right to buy) 5.93 2022-03-08 4 D 0 18566 12.51 D 2027-06-30 COMMON STOCK 18566.0 0 D Stock Option (right to buy) 9.89 2022-03-08 4 D 0 65000 12.51 D 2028-07-02 COMMON STOCK 65000.0 0 D Performance-Based Restricted Stock Units 0.0 2022-03-08 4 D 0 11500 12.51 D COMMON STOCK 11500.0 0 D Disposed of as a result of the merger pursuant to the previously announced Agreement and Plan of Merger, dated December 5, 2021, between the issuer and Jack in the Box Inc. (the "Merger Agreement"). Pursuant to the Merger Agreement, each restricted stock award (other than certain non-accelerating restricted stock awards granted to the issuer's executive officers) will vest and be converted into the right to receive cash of $12.51 per share, each unexercised option will vest and be converted into the right to receive cash in an amount equal to the excess of $12.51 over the exercise price of such option, and each performance-based restricted stock unit will vest and be converted into the right to receive cash of $12.51 per share. Rebecca H. Yang, Attorney-in-Fact 2022-03-10