SEC Form 4 · accession 0001048462-18-000016
FAMOUS DAVES OF AMERICA INC · DAVE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard A Shapiro
Director
Period of report
Apr 10, 2018
Accepted (ET)
Apr 12, 2018 · 5:43 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001021270
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01F1 | Apr 10, 2018 | X | 2,132 | $3.50 | A | 12,132 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subscription Rights | $3.50 | Apr 10, 2018 | X | 2,132 | D | Mar 9, 2018 | Apr 10, 2018 | Common Stock, par value $0.01 | 2,132 | 0 | D |
Explanation of responses
- F1Represents Common Stock of the Issuer acquired in the Issuer's rights offering described in the Form 424B4 filed by the Issuer with the U.S. Securities and Exchange Commission on March 12, 2018.