SEC FORM 3/A SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
BOGEAJIS KAY

(Last) (First) (Middle)
C/O EL POLLO LOCO HOLDINGS, INC.
3535 HARBOR BLVD., SUITE 100

(Street)
COSTA MESA CA 92626

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/24/2014
3. Issuer Name and Ticker or Trading Symbol
El Pollo Loco Holdings, Inc. [ LOCO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
07/24/2014
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy) (1) 07/29/2023 Common Stock 98,483 4.09 D
Stock Options (right to buy) (2) 07/29/2023 Common Stock 196,967 5.84 D
Explanation of Responses:
1. The Stock Options were granted under the Corporation's 2012 Stock Option Plan with 12,310 options fully vested and 12,310 options vesting on July 29, 2014, December 31, 2014, July 29, 2015, December 30, 2015, July 29, 2016, December 28, 2016 and July 29, 2017, in certain cases subject to the satisfaction of certain performance conditions.
2. The Stock Options were granted under the Corporation's 2012 Stock Option Plan with 49,241 options fully vested and 24,620 options vesting on July 29, 2014, December 31, 2014, July 29, 2015, December 30, 2015, July 29, 2016, December 28, 2016 and July 29, 2017, in certain cases subject to the satisfaction of certain performance conditions.
Remarks:
This Statement on this Form is being amended to correct an administrative error and to reflect, for certain previously unadjusted line items, the effects of the Issuer's stock split of 8.56381:1 of July 14, 2014, which was effective prior to the original filing of this Statement. This amendment brings this Statement into alignment with the information presented in the Issuer's prospectus of July 24, 2014.
/s/ Edith R. Austin, as attorney-in-fact 08/21/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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