FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 09/17/2004 |
3. Issuer Name and Ticker or Trading Symbol
GRANITE CITY FOOD & BREWERY LTD [ GCFB ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock(1) | 461,538 | D | |
Common Stock(2) | 52,444 | D | |
Common Stock(3) | 461,538 | I | See Footnote 21(21) |
Common Stock(4) | 461,538 | I | See Footnote 21(21) |
Common Stock(5) | 461,538 | I | See Footnote 21(21) |
Common Stock(6) | 461,538 | I | See Footnote 21(21) |
Common Stock(7) | 461,538 | I | See Footnote 21(21) |
Common Stock(8) | 461,538 | I | See Footnote 21(21) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants(9) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | D | |
Warrants(10) | 09/17/2004 | 09/17/2009 | Common Stock | 20,000 | $5 | D | |
Series A Convertible Preferred Stock(11) | 10/01/2002 | (22) | Common Stock | 25,316 | $1.58 | D | |
Warrants(12) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Series A Convertible Preferred Stock(13) | 10/01/2002 | (22) | Common Stock | 94,936 | $1.58 | D | |
Warrants(14) | 10/01/2002 | 10/01/2007 | Common Stock | 47,468 | $1.58 | D | |
Warrants(15) | 12/20/2002 | 12/20/2007 | Common Stock | 47,468 | $1.58 | D | |
Warrants(16) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Warrants(17) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Warrants(18) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Warrants(19) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Warrants(20) | 09/17/2004 | 09/17/2009 | Common Stock | 184,615 | $5 | I | See Footnote 21(21) |
Series A Convertible Preferred Stock(13) | 12/20/2002 | (22) | Common Stock | 94,936 | $1.58 | D |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. Reporting person is Whitebox Intermarket Partners, L.P. |
2. Reporting person is Gary S. Kohler |
3. Reporting person is Gary S. Kohler |
4. Reporting person is Andrew J. Redleaf |
5. Reporting person is Whitebox Advisors, LLC |
6. Reporting person is Whitebox Intermarket Advisors, LLC |
7. Reporting person is Whitebox Intermarket Fund, L.P. |
8. Reporting person is Whitebox Intermarket Fund, Ltd. |
9. Reporting person is Whitebox Intermarket Partners, L.P. |
10. Reporting person is Gary S. Kohler |
11. Reporting person is Gary S. Kohler |
12. Reporting person is Gary S. Kohler |
13. Reporting person is Andrew J. Redleaf |
14. Reporting person is Andrew J. Redleaf |
15. Reporting person is Andrew J. Redleaf |
16. Reporting person is Andrew J. Redleaf |
17. Reporting person is Whitebox Advisors, LLC |
18. Reporting person is Whitebox Intermarket Advisors, LLC |
19. Reporting person is Whitebox Intermarket Fund, L.P. |
20. Reporting person is Whitebox Intermarket Fund, Ltd. |
21. Each of Gary S. Kohler, Andrew J. Redleaf, Whitebox Advisors, LLC, Whitebox Intermarket Advisors, LLC, Whitebox Intermarket Fund, L.P., and Whitebox Intermarket Fund, Ltd. share voting and investment power with respect to the shares of common stock beneficially owned by Whitebox Intermarket Partners, L.P. However, Messrs. Kohler and Redleaf, Whitebox Advisors, LLC, Whitebox Intermarket Advisors, LLC, Whitebox Intermarket Fund, L.P. and Whitebox Intermarket Fund, Ltd. each disclaim beneficial ownership of such shares of common stock except to the extent of their pecuniary interest in such shares. |
22. There is no expiration date for exercise of the Series A Convertible Preferred Stock. |
Remarks: |
Pursuant to Instruction 5(b)(v) of the General Instructions to Form 3, this joint filer information is also being filed on behalf of the reporting owners set forth herein. |
/s/ Gary S. Kohler | 10/18/2004 | |
/s/Andrew J. Redleaf | 10/18/2004 | |
/s/ Jonathan Wood, Chief Financial Officer, for Whitebox Advisors, LLC, Whitebox Intermarket Partners, L.P., Whitebox Intermarket Fund, L.P., Whitebox Intermarket Advisors, LLC and Whitebox Intermarket Fund, Ltd. | 10/18/2004 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |