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Filing Details

Accession Number:: 0001179110-13-016860
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-11-21 17:42:09
Reporting Period:: 2013-08-05

Filing Date:: 2013-11-21
Accepted Time:: 2013-11-21 17:42:09
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1585583	Levy Acquisition Corp	LEVY	Blank Checks (6770)	000000000

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1586867	C. Steven Florsheim	444 North Michigan Avenue Suite 3500 Chicago IL 60611	Exec. Vp & Chief Acqs. Officer	Yes	Yes	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2013-08-05	4,312,500	$0.01	4,312,500	No	4	A	Indirect	See footnote.
Common Stock	Disposition	2013-10-17	69,000	$0.01	4,243,500	No	4	S	Indirect	See footnote.
Common Stock	Disposition	2013-11-19	553,500	$0.00	3,690,000	No	4	J	Indirect	See footnote.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	A	Indirect	See footnote.
No	4	S	Indirect	See footnote.
No	4	J	Indirect	See footnote.

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Private Placement Warrants	Acquisiton	2013-11-19	4,750,000	$1.00	4,750,000	$11.50
Common Stock	Private Placement Warrants	Disposition	2013-11-19	60,000	$0.00	60,000	$11.50

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
4,750,000			No	4	A	Indirect
4,690,000			No	4	G	Indirect

Footnotes

Forfeiture to the Issuer for no consideration because the underwriter for the Issuer's initial public offering did not exercise the over-allotment option.
Includes 922,500 shares which may be forfeited on the 5th anniversary of the Issuer's initial business combination, unless following the initial business combination the last sale price of the Issuer's common stock equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like) for any 20 trading days within any 30-trading day period or the Issuer completes a liquidation, merger, stock exchange or similar transaction that results in all of its stockholders having the right to exchange their shares of common stock for consideration in cash, securities or other property which equals or exceeds $13.00 per share (as adjusted for stock splits, stock dividends, reorganizations, recapitalizations or the like).
The securities are held directly by Levy Acquisition Sponsor, LLC. The Reporting Person is a manager of Levy Family Partners, LLC, which is the managing member of Levy Acquisition Sponsor, LLC. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
The warrants will become exercisable beginning on the later of one year after issuance or 30 days after the completion of the Issuer's initial business combination.
The warrants expire five years after the completion of the Issuer's initial business combination or earlier upon redemption or liquidation.