0001209191-18-018778.txt : 20180312
0001209191-18-018778.hdr.sgml : 20180312
20180312145124
ACCESSION NUMBER: 0001209191-18-018778
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180309
FILED AS OF DATE: 20180312
DATE AS OF CHANGE: 20180312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRIVELLO JEFFERY
CENTRAL INDEX KEY: 0001715474
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21625
FILM NUMBER: 18683092
MAIL ADDRESS:
STREET 1: 12701 WHITEWATER DRIVE, SUITE 200
CITY: MINNETONKA
STATE: MN
ZIP: 55343
FORMER NAME:
FORMER CONFORMED NAME: CRIVELLO JEFFREY
DATE OF NAME CHANGE: 20170824
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FAMOUS DAVES OF AMERICA INC
CENTRAL INDEX KEY: 0001021270
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 411782300
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1229
BUSINESS ADDRESS:
STREET 1: 12701 WHITEWATER DRIVE
STREET 2: SUITE 200
CITY: MINNETONKA
STATE: MN
ZIP: 55343
BUSINESS PHONE: 952-294-1300
MAIL ADDRESS:
STREET 1: 12701 WHITEWATER DRIVE
STREET 2: SUITE 200
CITY: MINNETONKA
STATE: MN
ZIP: 55343
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-03-09
0
0001021270
FAMOUS DAVES OF AMERICA INC
DAVE
0001715474
CRIVELLO JEFFERY
12701 WHITEWATER DRIVE, SUITE 200
MINNETONKA
MN
55343
1
1
0
0
Chief Executive Officer
Common Stock
2018-03-09
4
M
0
11250
3.90
A
26250
D
Stock Option (Right to Buy)
3.90
2018-03-09
4
M
0
11250
0.00
D
2027-11-14
Common Stock
11250
78750
D
The option, representing a right to purchase a total of 90,000 shares, became exercisable in 24 equal installments beginning on December 14, 2017,
/s/ Jeffery Crivello
2018-03-12