SEC Form 4 · accession 0001209191-17-032938
FAMOUS DAVES OF AMERICA INC · DAVE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eric Hirschhorn
Director
Period of report
May 15, 2017
Accepted (ET)
May 17, 2017 · 10:59 am 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 | — | — | — | 0 | 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 | $1.00 | May 15, 2017 | A | 20,000 | A | — | May 15, 2027 | Common Stock | 20,000 | 20,000 | D |
Explanation of responses
- F1The option vests in five equal annual installments beginning on May 15, 2018.