Sec Form 4 Filing - LEVY LAWRENCE F @ Del Taco Restaurants, Inc. - 2017-10-23

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
LEVY LAWRENCE F
2. Issuer Name and Ticker or Trading Symbol
Del Taco Restaurants, Inc. [ TACO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O DEL TACO RESTAURANTS, INC., 25521 COMMERCENTRE DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
10/23/2017
(Street)
LAKE FOREST, CA92630
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
COMMON STOCK 10/23/2017 P 62,195 A $ 12.5454 ( 1 ) 2,556,624 ( 2 ) I See footnote ( 3 )
COMMON STOCK 10/24/2017 P 37,805 A $ 12.5492 ( 4 ) 2,594,429 ( 2 ) I See footnote ( 3 )
COMMON STOCK 10/23/2017 P 100,000 A $ 12.5337 ( 5 ) 100,000 I See footnote ( 6 )
COMMON STOCK 18,356 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Fol lowing Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
LEVY LAWRENCE F
C/O DEL TACO RESTAURANTS, INC.
25521 COMMERCENTRE DRIVE
LAKE FOREST, CA92630
X
Signatures
/s/ Rebecca H. Yang, Attorney-in-Fact 10/24/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $12.5100 to $12.5500. The Reporting Person undertakes to provide Del Taco Restaurants, Inc. (the "Company"), any security holder of the Company or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote to this Form 4.
( 2 )Includes the result of LFP donating 6,900 common stock shares to a 501(c)3 organization on September 15, 2017.
( 3 )The securities are held directly by Levy Family Partners LLC ("LFP"). The Reporting Person is a manager of LFP Management LLC, the sole manager of LFP. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.
( 4 )The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $12.5200 to $12.5500. The Reporting Person undertakes to provide Del Taco Restaurants, Inc. (the "Company"), any security holder of the Company or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote to this Form 4.
( 5 )The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $12.5300 to $12.5400. The Reporting Person undertakes to provide Del Taco Restaurants, Inc. (the "Company"), any security holder of the Company or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote to this Form 4.
( 6 )The securities are held directly by Lawrence F. Levy Trust Dated December 23, 1988 ("Lawrence F. Levy Trust"). The Reporting Person is a trustee of Lawrence F. Levy Trust. The Reporting Person disclaims beneficial ownership of such securities except to the extent of his actual pecuniary interest therein.

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