Filing Details

Accession Number:
0001394156-18-000079
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2018-09-14 14:51:14
Reporting Period:
2016-07-28
Accepted Time:
2018-09-14 14:51:14
Original Submission Date:
2018-07-25
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1394156 Diversified Restaurant Holdings Inc. SAUC Retail-Eating Places (5812) 030606420
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1434679 Michael T. Ansley 27680 Franklin Road
Southfield MI 48034
Chairman Of The Board Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2018-07-24 700,000 $1.00 2,314,557 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Option to purchase common stock -- -- Right to Buy '16 Disposition 2016-07-28 30,000 $0.00 30,000 $2.50
Common Stock Option to purchase common stock -- -- Right to Buy '19 Acquisiton 2016-07-28 30,000 $0.00 30,000 $2.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2016-07-31 No 4 D Direct
30,000 2019-07-31 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 8,000,000 Indirect By reporting person and wife through family limited liability company
Common Stock 9,000 Indirect By reporting person as UGMA custodian for children
Footnotes
  1. Reporting person transferred these shares to a family limited liability company of which the reporting person is the sole voting member with sole dispositive power over the shares, and the reporting person and his wife are the sole beneficial owners.
  2. The reporting person disclaims beneficial ownership of these shares and this report shall not be deemed an admission that the reporting person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose
  3. The two reported transactions involved an amendment of an outstanding option, resulting in the deemed cancellation of the "old" option with the grant of a replacement option. The option was originally granted on July 31, 2010 and provided for vesting in three equal installments commencing on July, 31, 2011.