0001179110-12-003715.txt : 20120228
0001179110-12-003715.hdr.sgml : 20120228
20120228152604
ACCESSION NUMBER: 0001179110-12-003715
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20120227
FILED AS OF DATE: 20120228
DATE AS OF CHANGE: 20120228
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gilbert John F III
CENTRAL INDEX KEY: 0001527274
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21625
FILM NUMBER: 12646801
MAIL ADDRESS:
STREET 1: C/O FAMOUS DAVE'S OF AMERICA, INC.
STREET 2: 12701 WHITEWATER DRIVE, SUITE 200
CITY: MINNETONKA
STATE: MN
ZIP: 55343
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: 1231
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
edgar.xml
FORM 4 -
X0304
4
2012-02-27
0
0001021270
FAMOUS DAVES OF AMERICA INC
DAVE
0001527274
Gilbert John F III
C/O FAMOUS DAVE'S OF AMERICA, INC.
12701 WHITEWATER DRIVE, SUITE 200
MINNETONKA
MN
55343
1
0
0
0
Common Stock
2012-02-27
4
P
0
3000
10.9143
A
19200
D
The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $10.90 to $10.95, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth.
Includes a restricted stock grant which vests as follows: 3,000 shares vest on each of 8/2/2012, 8/2/2013, 8/2/2014, 8/2/2015 and 8/2/2016.
/s/ Diana G. Purcel, as Attorney-in-Fact for John F. Gilbert III
2012-02-27
EX-24.1
2
exhibit24.txt
POWER OF ATTORNEY
POWER OF ATTORNEY
For Executing Forms 3, 4 and 5
Know all by these presents, that the undersigned hereby constitutes and
appoints Diana G. Purcel, William M. Mower and Paul Ziccarelli, signing
individually, his true and lawful attorneys-in-fact to:
1. Execute for and on behalf of the undersigned Initial Statements of
Beneficial Ownership of Securities on Form 3, Statements of Changes of
Beneficial Ownership of Securities on Form 4 and Annual Statements of
Beneficial Ownership of Securities on Form 5, for the purpose of
reporting transactions by the undersigned in securities issued by Famous
Dave's of America, Inc. in accordance with Section 16(a) of the
Securities Exchange Act of 1934 and the rules thereunder;
2. Do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete the
execution of any such Form 3, 4 or 5 and the timely filing thereof with
the United States Securities and Exchange Commission and any other
applicable governmental or regulatory authority; and
3. Take any other action of any type whatsoever in connection with
the foregoing which in the opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally required by, the
undersigned, it being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and
conditions as such attorney-in-fact may approve in his discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform all and every act and thing whatsoever
requisite, necessary and proper to be done in the exercise of any of the
rights and powers herein granted, as fully to all intents and purposes
as such attorney-in-fact might or could do if personally present, with
full power of substitution or revocation, hereby ratifying and
confirming all that such attorney-in-fact, or his substitute or
substitutes, shall lawfully do or cause to be done by virtue of this
power of attorney and the rights and powers herein granted. The
undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not
assuming any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 with respect
to the undersigned's holdings of and transactions in securities issued
by Famous Dave's of America, Inc., unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney
as of this ____ day of ___________, 2012.
John F. Gilbert III
871702