Amended Statement of Changes in Beneficial Ownership (4/a)
July 27 2021 - 7:01PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
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JOBSON CHARLES E |
2. Issuer Name and Ticker or Trading Symbol
Good Times Restaurants Inc.
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GTIM
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
39 LIVINGSTON ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/29/2021 |
(Street)
WELLESLEY, MA 02842
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
7/27/2021 |
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | | | | | | | | 332570 | I | By Jobson Family Foundation (1) |
Common Stock | | | | | | | | 0 | I | By Delta Advisors (2) |
Common Stock | | | | | | | | 126024 | I | By Charles E. Jobson Irrevocable Trust (3) |
Common Stock | | | | | | | | 1813361 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Un | $0.00 | | | | | | | 11/16/2021 (4) | 11/16/2021 | Common Stock | 913 | | 914 | D | |
Explanation of Responses: |
(1) | Common shares held by the Jobson Family Foundation, an entity controlled by Mr. Jobson |
(2) | This amendment to the Form 4 is being filed to reflect that 5,468 shares are held directly by Charles Jobson and not by Delta Advisors LLC, who had previously made liquidating distributions in kind to Charles Jobson. The prior Form 4 (and certain prior Section 16 filings) inadvertently reflected such shares as being held by Delta Advisors, LLC. |
(3) | Charles E. Jobson Irrevocable Trust, a trust in which the reporting person's children beneficially own 100%. The reporting person's spouse is the Trustee. |
(4) | The Reporting Person was granted 2,740 Restricted Stock Units on November 16, 2018 vesting at 1/3 of the total granted amount over three years. Such Restricted Stock Units were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
JOBSON CHARLES E 39 LIVINGSTON ROAD WELLESLEY, MA 02842 | X |
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Signatures
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Charles Jobson | | 7/27/2021 |
**Signature of Reporting Person | Date |
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