|4May 16, 5:33 PM ET

Haeg Peter O. 4

4 · FAMOUS DAVES OF AMERICA INC · Filed May 16, 2018

Insider Transaction Report

Form 4
Period: 2018-05-15
Transactions
  • Award

    Stock Options (right to buy)

    2018-05-15+20,00020,000 total
    Exercise: $7.85Exp: 2028-05-15Common Stock (20,000 underlying)
Holdings
  • Common Stock

    (indirect: By FS Special Opportunities I, L.P.)
    418,169
Footnotes (3)
  • [F1]Held by FS Special Opportunities I, L.P. ("FS I") and indirectly by Farnam Street Capital, Inc. as General Partner of FS I and Peter Haeg as President and Secretary of Farnam Street Capital, Inc. ("Farnam Street"). Farnam Street and Mr. Haeg disclaim beneficial ownership of these securities except to the extent of his pecuniary interest therein. Mr. Haeg was elected to the Board of Directors at the direction of FS I; therefore, FS I and Farnam Street may be considered directors of the issuer by deputization.
  • [F2]As reported in the Schedule 13D filed by the Reporting Persons on November 20, 2017, the Reporting Persons share beneficial ownership of the 418,169 shares with another group that includes PW Partners, LLC (the "PW Group"). Because of their shared beneficial ownership of the shares, the Reporting Persons and PW Group may together be considered a "group" for purposes of Rule 13d-1. the Reporting Persons disclaim beneficial ownership of any shares of the issuer held by PW Group other than the 418,169 shares and disclaims the existence of any such Section 13(d) "group."
  • [F3]The option vests in five annual installments beginning on the first anniversary on the date of grant.

Documents

1 file
  • 4
    edgar.xmlPrimary

    FORM 4 -