0001209191-19-015310.txt : 20190304
0001209191-19-015310.hdr.sgml : 20190304
20190304095503
ACCESSION NUMBER: 0001209191-19-015310
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190228
FILED AS OF DATE: 20190304
DATE AS OF CHANGE: 20190304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CRIVELLO JEFFERY
CENTRAL INDEX KEY: 0001715474
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21625
FILM NUMBER: 19652198
MAIL ADDRESS:
STREET 1: 12701 WHITEWATER DRIVE, SUITE 200
CITY: MINNETONKA
STATE: MN
ZIP: 55343
FORMER NAME:
FORMER CONFORMED NAME: CRIVELLO JEFFREY
DATE OF NAME CHANGE: 20170824
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: 1230
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
2019-02-28
0
0001021270
FAMOUS DAVES OF AMERICA INC
DAVE
0001715474
CRIVELLO JEFFERY
12701 WHITEWATER DRIVE, SUITE 190
MINNETONKA
MN
55343
1
1
0
0
Chief Executive Officer
Common Stock
2019-02-28
4
A
0
180000
0.00
A
221848
D
Restricted stock that vests in equal monthly installments over 48 months.
/s/ Jeffery Crivello
2019-03-04