0001179110-12-005324.txt : 20120319 0001179110-12-005324.hdr.sgml : 20120319 20120319172059 ACCESSION NUMBER: 0001179110-12-005324 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120316 FILED AS OF DATE: 20120319 DATE AS OF CHANGE: 20120319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PURCEL DIANA G CENTRAL INDEX KEY: 0001270545 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21625 FILM NUMBER: 12701477 MAIL ADDRESS: STREET 1: C/O FAMOUS DVES OF AMERICA INC STREET 2: 8091 WALLACE ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAMOUS DAVES OF AMERICA INC CENTRAL INDEX KEY: 0001021270 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 411782300 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 12701 WHITEWATER DRIVE STREET 2: SUITE 200 CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 952-294-1300 MAIL ADDRESS: STREET 1: 12701 WHITEWATER DRIVE STREET 2: SUITE 200 CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 edgar.xml FORM 4 - X0304 4 2012-03-16 0 0001021270 FAMOUS DAVES OF AMERICA INC DAVE 0001270545 PURCEL DIANA G C/O FAMOUS DAVE'S OF AMERICA, INC. 12701 WHITEWATER DRIVE, SUITE 200 MINNETONKA MN 55343 0 1 0 0 CFO & Secretary Common Stock, $.01 par value 2012-03-16 4 A 0 52266 0 A 79648 D Common Stock, $.01 par value 2012-03-16 4 F 0 22318 0 D 57330 D Employee Stock Option 5.05 2013-11-18 Common Stock, $.01 par value 30000 30000 D Employee Stock Option 6.15 2014-02-18 Common Stock, $.01 par value 20000 20000 D Restricted Stock Units Common Stock 25000 25000 D Includes 2,000 shares held in self-directed IRA and 500 shares held jointly with spouse. 6,000 shares each vest on 11/18/04, 11/18/05, 11/18/06, 11/18/07 and 11/18/08. 5,000 shares each vest on 2/18/05, 2/18/06, 2/18/07 and 2/18/08. Each restricted stock unit represents a contingent right to receive one share of the Company's Common Stock. The restricted stock units vest in three equal annual installments beginning on 9/11/2011. Vested shares will be delivered to the Reporting Person upon the termination date of her employment with the Company. /s/ Diana G. Purcel 2012-03-19