0001209191-17-049555.txt : 20170818 0001209191-17-049555.hdr.sgml : 20170818 20170818104911 ACCESSION NUMBER: 0001209191-17-049555 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170817 FILED AS OF DATE: 20170818 DATE AS OF CHANGE: 20170818 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wolff Bryan Lowell CENTRAL INDEX KEY: 0001650206 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21625 FILM NUMBER: 171040384 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: 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 2017-08-17 0 0001021270 FAMOUS DAVES OF AMERICA INC DAVE 0001650206 Wolff Bryan Lowell 12701 WHITEWATER DRIVE, SUITE 200 MINNETONKA MN 55343 1 0 0 0 Common Stock 2017-08-17 4 P 0 2000 4.50 A 2020 D Common Stock 2017-08-17 4 P 0 500 4.25 A 2520 D Common Stock 2017-08-17 4 P 0 500 4.20 A 3020 D /s/ Bryan L. Wolff 2017-08-18