0001654954-17-003176.txt : 20170410
0001654954-17-003176.hdr.sgml : 20170410
20170410123635
ACCESSION NUMBER: 0001654954-17-003176
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161108
FILED AS OF DATE: 20170410
DATE AS OF CHANGE: 20170410
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NOBLE ROMANS INC
CENTRAL INDEX KEY: 0000709005
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 351281154
STATE OF INCORPORATION: IN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE VIRGINIA AVE
STREET 2: STE 800
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
BUSINESS PHONE: 3176343377
MAIL ADDRESS:
STREET 1: ONE VIRGINIA AVENUE
STREET 2: SUITE 800
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOBLEY PAUL W
CENTRAL INDEX KEY: 0001193901
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11104
FILM NUMBER: 17752551
4
1
section16.xml
FORM 4
X0306
4
2016-11-08
0000709005
NOBLE ROMANS INC
NROM
0001193901
MOBLEY PAUL W
ONE VIRGINIA AVENUE, SUITE 300
INDIANAPOLIS
IN
46204
true
true
true
false
Executive Chairman
Convertible, Subordinated, Unsecured Promissory Note
0.5
2016-11-08
4
A
false
150000
0.5
A
2016-11-08
2019-11-08
Noble Roman's Inc
450000
1723333
D
Convertible, Subordinated, Unsecured Promissory Note
0.5
2016-12-16
4
A
false
150000
0.5
A
2016-12-29
2019-12-29
Noble Roman's Inc
450000
1723333
D
Interest on the notes accrues at the annual rate of 10% payable quarterly in arrears. Principal of the notes matures three years after issuance. Each holder of the notes may convert them at any time during the term of the notes into common stock of the company at a conversion rate of $.50 per share. Also with the notes are warrants which may be redeemed for common stock of the company at the exercise price of $1.00 per share. The warrants expire at the end of three years.
/s/Paul Mobley
2017-04-09