SEC Form 4 · accession 0001394156-18-000056
Diversified Restaurant Holdings, Inc. · SAUC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
T. Michael Ansley
Officer — Chairman of the Board · Director · 10% Owner
Period of report
Jul 28, 2016
Accepted (ET)
Jul 25, 2018 · 5:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001394156
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jul 24, 2018 | S | 700,000 | $1.00 | D | 2,314,557 | D | |
| Common StockF1 | holding | — | — | — | 8,000,000 | I | By reporting person and wife through family limited liability company | |
| Common StockF2 | holding | — | — | — | 9,000 | I | By reporting person as UGMA custodian for children |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to purchase common stock -- -- Right to Buy '16F3 | $2.50 | Jul 28, 2016 | D | 30,000 | D | — | Jul 31, 2016 | Common Stock | 30,000 | 0 | D |
| Option to purchase common stock -- -- Right to Buy '19F3 | $2.50 | Jul 28, 2016 | A | 30,000 | A | — | Jul 31, 2019 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1Reporting person transferred these shares to a family limited liability company of which the reporting person is the sole voting member with sole dispositive power over the shares, and the reporting person and his wife are the sole beneficial owners.
- F2The reporting person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose
- F3The two reported transactions involved an amendment of an outstanding option, resulting in the deemed cancellation of the "old" option with the grant of a replacement option. The option was originally granted on July 31, 2010 and provided for vesting in three equal installments commencing on July, 31, 2011.