0001181431-12-036150.txt : 20120612
0001181431-12-036150.hdr.sgml : 20120612
20120612184018
ACCESSION NUMBER: 0001181431-12-036150
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120610
FILED AS OF DATE: 20120612
DATE AS OF CHANGE: 20120612
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bashour Fouad Zouhair
CENTRAL INDEX KEY: 0001519857
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-29643
FILM NUMBER: 12903922
MAIL ADDRESS:
STREET 1: 500 CRESCENT COURT
STREET 2: SUITE 250
CITY: DALLAS
STATE: TX
ZIP: 75201
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GRANITE CITY FOOD & BREWERY LTD.
CENTRAL INDEX KEY: 0001048620
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 411883639
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1227
BUSINESS ADDRESS:
STREET 1: 701 XENIA AVENUE SOUTH
STREET 2: SUITE 120
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55416
BUSINESS PHONE: 952-215-0660
MAIL ADDRESS:
STREET 1: 701 XENIA AVENUE SOUTH
STREET 2: SUITE 120
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55416
FORMER COMPANY:
FORMER CONFORMED NAME: GRANITE CITY FOOD & BREWERY LTD
DATE OF NAME CHANGE: 19991112
4
1
rrd348648.xml
FORM 4 - FB
X0305
4
2012-06-10
0
0001048620
GRANITE CITY FOOD & BREWERY LTD.
GCFB
0001519857
Bashour Fouad Zouhair
500 CRESCENT COURT, SUITE 250
DALLAS
TX
75201
1
0
1
0
Common Stock
2012-06-10
4
P
0
3125000
2.08
A
3264298
I
By Concept Development Partners LLC
Stock Option (right to buy)
2.21
2013-05-10
2022-05-10
Common Stock
4525
4525
D
Stock Option (right to buy)
3.55
2012-06-14
2021-06-14
Common Stock
3000
3000
D
Series A Convertible Preferred Stock
2011-05-10
Common Stock
6000000
3000000
I
By Concept Development Partners LLC
On June 10, 2012, Concept Development Partners LLC and the Issuer entered into a stock purchase agreement for the purchase of the shares reported herein.
The reporting person has an indirect pecuniary interest in the shares reported herein.
Each share of the Preferred Stock is convertible into two shares of common stock.
The Preferred Stock may be converted into common stock of the Issuer at any time prior to December 31, 2014. The Preferred Stock will automatically convert to common stock of the Issuer on the first business day on or after December 31, 2014, on which the average of the closing sale prices of the Issuer's common stock on the NASDAQ Capital Market (or other principal exchange or market on which the common stock is then traded) for the trading days within the 90 calendar day period ending on the date prior to such first business day is greater than $4.00 per share (as adjusted for stock splits, distributions or other combinations).
/s/ Monica A. Underwood, attorney-in-fact
2012-06-12