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