SEC Form 4 · accession 0000914760-16-000443

Del Taco Restaurants, Inc. · TACO

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director · 10% Owner

Period of report

Jul 6, 2016

Accepted (ET)

Jul 7, 2016 · 5:37 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001585583

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Jul 6, 2016	J	1,783,781	$0.00	D	2,316,459	I	See Footnote
Common Stock	holding	—	—		—	10,616	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Private Placement Warrants^F1,F2	$11.50	Jul 6, 2016	J	5,049,623	D	—	—	Common Stock	5,049,623	1,769,652	I

F1Reflects pro rata distribution by Levy Acquisition Sponsor, LLC to its members, in accordance with their membership interests in Levy Acquisition Sponsor, LLC, for no consideration. The transaction is exempt under the Securities and Exchange Act of 1934, as amended. In the pro rata distribution, Levy Family Partners, LLC, the manager and a member of Levy Acquisition Sponsor, LLC, received 692,459 shares of Common Stock and Warrants to purchase 1,769,652 shares of Common Stock. The Reporting Person is one of four managers of Levy Family Partners, LLC. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
F2The warrants became exercisable on July 30, 2015 and will expire on June 30, 2020 or earlier upon certain events.