-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, O8anCb6/GhPw/kMV0ObTOKU3Ige4S0lG7Atw5sodkgjHkvhoOJk0hHYSSIy4qee6 4HzLKe359C0+G+7AHd6EOA== 0001179110-05-016593.txt : 20050817 0001179110-05-016593.hdr.sgml : 20050817 20050817164045 ACCESSION NUMBER: 0001179110-05-016593 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050816 FILED AS OF DATE: 20050817 DATE AS OF CHANGE: 20050817 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: 1231 BUSINESS ADDRESS: STREET 1: 5831 CEDAR LAKE ROAD CITY: ST LOUIS PARK STATE: MN ZIP: 55416 BUSINESS PHONE: 6125252070 MAIL ADDRESS: STREET 1: 5831 CEDAR LAKE RD CITY: ST LOUIS PARK STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PEW ARTHUR E III CENTRAL INDEX KEY: 0001203808 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29643 FILM NUMBER: 051033760 MAIL ADDRESS: STREET 1: 2515 MANITOU ISLAND CITY: WHITE BEAR LAKE STATE: MN ZIP: 55110 4 1 edgar.xml FORM 4 - X0202 4 2005-08-16 0 0001048620 GRANITE CITY FOOD & BREWERY LTD GCFB 0001203808 PEW ARTHUR E III 2515 MANITOU ISLAND WHITE BEAR LAKE MN 55110 1 0 1 0 Common Stock 2005-08-16 4 M 0 15000 4.00 A 131970 D Common Stock 2005-08-16 4 S 0 12100 5.00 D 119870 D Common Stock 1662500 I See footnote Common Stock 100 I By spouse Common Stock 400 I By trusts Stock Option (right to buy) 4.00 2005-08-16 4 M 0 15000 0 D 2001-08-18 2005-08-18 Common Stock 15000 0 D Class A Warrant 4.66 2001-08-05 2005-12-15 Common Stock 104045 104045 D Class A Warrant 4.66 2001-08-05 2005-12-15 Common Stock 107 107 I By spouse Class A Warrant 4.66 2001-08-05 2005-12-15 Common Stock 429 429 I By trusts Stock Option (right to buy) 4.25 2005-08-18 2009-08-18 Common Stock 15000 15000 D Stock Option (right to buy) 2.161 2004-08-18 2008-08-18 Common Stock 15000 15000 D Stock Option (right to buy) 1.26 2003-08-18 2007-08-18 Common Stock 15000 15000 D Stock Option (right to buy) 1.38 2002-08-18 2006-08-18 Common Stock 15000 15000 D Brewing Ventures LLC, a Minnesota limited liability company, is the direct owner of 1,662,500 shares of Common Stock. William E. Burdick, Steven J. Wagenheim and Arthur E. Pew III are members of Brewing Ventures LLC and collectively own 75% of its membership interests. As such, they may be deemed to be the indirect beneficial owners of such securities. Each Class A Warrant entitles the holder to purchase, at any time until December 15, 2005, one share of Common Stock at an exercise price of $4.66 per share, subject to adjustment. /s/ Monica A. Underwood - attorney in fact 2005-08-17 -----END PRIVACY-ENHANCED MESSAGE-----