SEC Form 5 · accession 0001437749-16-024770
Diversified Restaurant Holdings, Inc. · SAUC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
T. Michael Ansley
Officer — President and CEO · Director · 10% Owner
Period of report
Dec 27, 2015
Accepted (ET)
Feb 4, 2016 · 4:18 pm EST
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 | Dec 10, 2015 | G | 37,750 | $0.00 | D | 11,097,118 | D | |
| Common StockF1 | holding | — | — | — | 9,000 | I | By reporting person as UGMA custodian for children |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The 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