SEC Form 4 · accession 0000921895-16-005130

Del Taco Restaurants, Inc. · TACO

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

Reporting owner

Director

Period of report

Jul 6, 2016

Accepted (ET)

Jul 8, 2016 · 6:06 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001585583

Table I — non-derivative securities

Security	Date	Code	Shares	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	holding	—	—	—	10,000	I	By PW Partners Master Fund (QP) LP
Common Stock^F2	holding	—	—	—	3,343,125	I	By PW Acquisitions LP
Common Stock	holding	—	—	—	5,308	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Warrants (Right to Buy)^F2,F4	$11.50	Jul 6, 2016	J	600,000	A	—	—	Common Stock	600,000	600,000	I

F1Represents securities held directly by PW Partners Master Fund (QP) LP. The Reporting Person is the chief executive officer and managing member of the General Partner of PW Partners Master Fund (QP) LP and exercises voting and dispositive power over such securities. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
F2Represents securities held directly by PW Acquisitions LP. The Reporting Person is the chief executive officer and managing member of the General Partner of PW Acquisitions LP and exercises voting and dispositive power over such securities. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
F3Represents warrants received by PW Acquisitions LP pursuant to a pro rata distribution by Levy Acquisition Sponsor, LLC ("Levy Sponsor") to its members in accordance with their membership interests in Levy Sponsor, for no consideration.
F4The warrants became exercisable on July 30, 2015 and will expire on June 30, 2020 or earlier upon certain events.