SEC Form 4 · accession 0001209191-17-029967
FAMOUS DAVES OF AMERICA INC · DAVE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles William Mooty
Director
Period of report
May 2, 2017
Accepted (ET)
May 4, 2017 · 3:10 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 | holding | — | — | — | 67,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (RIght-to-Buy)F1 | $4.10 | May 2, 2017 | A | 20,000 | A | — | Dec 8, 2026 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The option vests in five equal annual installments beginning on December 8, 2017.