0001415889-21-005135.txt : 20211112 0001415889-21-005135.hdr.sgml : 20211112 20211112100620 ACCESSION NUMBER: 0001415889-21-005135 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211109 FILED AS OF DATE: 20211112 DATE AS OF CHANGE: 20211112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Laurance CENTRAL INDEX KEY: 0001614571 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36556 FILM NUMBER: 211400855 MAIL ADDRESS: STREET 1: C/O EL POLLO LOCO HOLDINGS, INC. STREET 2: 3535 HARBOR BLVD., SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: El Pollo Loco Holdings, Inc. CENTRAL INDEX KEY: 0001606366 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 203563182 STATE OF INCORPORATION: DE FISCAL YEAR END: 1229 BUSINESS ADDRESS: STREET 1: 3535 HARBOR BOULEVARD STREET 2: SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 BUSINESS PHONE: 7145995000 MAIL ADDRESS: STREET 1: 3535 HARBOR BOULEVARD STREET 2: SUITE 100 CITY: COSTA MESA STATE: CA ZIP: 92626 4 1 form4-11122021_071105.xml X0306 4 2021-11-09 0001606366 El Pollo Loco Holdings, Inc. LOCO 0001614571 Roberts Laurance C/O EL POLLO LOCO HOLDINGS, INC. 3535 HARBOR BLVD, SUITE 100 COSTA MESA CA 92626 false true false false INTERIM CEO & CFO Common Stock 2021-11-09 4 A 0 13123 0 A 113641 D Consists of restricted shares granted under the Equity Incentive Plan, vesting in one installment on October 15, 2022. /s/ Anne E. Jollay, Attorney-in-Fact 2021-11-11