0001179110-16-017811.txt : 20160119 0001179110-16-017811.hdr.sgml : 20160118 20160119152708 ACCESSION NUMBER: 0001179110-16-017811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160115 FILED AS OF DATE: 20160119 DATE AS OF CHANGE: 20160119 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pawlowski Richard A. CENTRAL INDEX KEY: 0001609699 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21625 FILM NUMBER: 161348177 MAIL ADDRESS: STREET 1: 12701 WHITEWATER DRIVE, SUITE 200 CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 edgar.xml FORM 4 - X0306 4 2016-01-15 0 0001021270 FAMOUS DAVES OF AMERICA INC DAVE 0001609699 Pawlowski Richard A. 12701 WHITEWATER DRIVE, SUITE 200 MINNETONKA MN 55343 0 1 0 0 Chief Financial Officer Common Stock 0 D Common Stock 1959 I By Spouse Stock Options (right to buy) 5.90 2016-01-15 4 A 0 2000 0 D 2017-04-01 Common Stock 2000 2000 D On January 15, 2016, the Reporting Person was granted an option to purchase 6,000 shares of common stock. The option vests in three equal installments based on meeting certain performance criteria. The performance criteria for the first installment has been met, resulting in the vesting of the option as to 2,000 shares. /s/ Richard A. Pawlowski 2016-01-19