SEC Form 5 · accession 0001477932-17-000591
ITS BURGER TIME RESTAURANT GROUP, INC. · TBD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary Copperud
Officer — President · Director · 10% Owner
Period of report
Dec 31, 2015
Accepted (ET)
Feb 7, 2017 · 4:20 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001412068
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $0.0001 per share | Dec 29, 2015 | J | 2,279,530 | $0.00 | D | 0 | D |
Table II — derivative securities
No Table II lines on this filing.
Remarks
The reporting person returned the subject shares to the issuer for cancellation in connection with the unwinding of the merger transaction pursuant to which he acquired the subject shares.