1. Name and Address of Reporting Person * |
Â
Siegler Jason D. |
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2. Date of Event Requiring Statement (Month/Day/Year) 12/28/2015 |
3. Issuer Name and Ticker or Trading Symbol Bravo Brio Restaurant Group, Inc. [BBRG]
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C/O BRAVO BRIO RESTAURANT GROUP, INC., 777 GOODALE BLVD, SUITE 100 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director |
_____ 10% Owner |
__X__ Officer (give title below) |
_____ Other (specify below) |
Vice President |
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5. If Amendment, Date Original Filed(Month/Day/Year)
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COLUMBUS, OH 43212 |
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned |
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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) |
Common Shares, no par value per share
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5,700
(1)
(2)
(3)
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D
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Â
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Common Shares, no par value per share
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50
(4)
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I
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By trust
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Common Shares, no par value per share
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1,000
(5)
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I
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By the Siegler Family Trust
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* |
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). |
(1) |
Includes 750 restricted shares subject to time vesting, with 100% of these shares vesting on February 27, 2016. |
(2) |
Includes 2,250 restricted shares subject to time vesting, with 50% of these shares vesting on February 28, 2016 and 50% of these shares vesting on February 28, 2017. |
(3) |
Includes 2,700 restricted shares subject to time vesting, with 33% of these shares vesting on February 27, 2016 and 33% of these shares vesting on each of the next two anniversaries of that date. |
(4) |
These shares are held in a trust for the benefit of the reporting person's children. The reporting person's spouse is trustee of the trust. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or for any other purpose. |
(5) |
These shares are held in a trust for the benefit of the reporting person, the reporting person's spouse and their children. The reporting person and the reporting person's spouse are co-trustees of the trust. |