SEC Form 4 · accession 0001209191-16-114292
Dave & Buster's Entertainment, Inc. · PLAY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alan J Lacy
Director
Period of report
Apr 7, 2016
Accepted (ET)
Apr 15, 2016 · 11:55 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001525769
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Apr 7, 2016 | A | 1,470 | $0.00 | A | 3,283 | D | |
| Common StockF1 | holding | — | — | — | 168,738 | I | Alan J. Lacy Irrevocable Qualified Annuity Trust No. 2016-3 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy | $39.10 | Apr 7, 2016 | A | 4,545 | A | Apr 7, 2017 | Apr 7, 2026 | Common Stock | 4,545 | 4,545 | D |
Explanation of responses
- F1On April 8, 2016, the reporting person transferred 168,738 directly owned shares of common stock of the Issuer to the Alan J. Lacy Irrevocable Qualified Annuity Trust No. 2016-3, of which the reporting person is trustee and beneficiary.