0001209191-18-030390.txt : 20180516
0001209191-18-030390.hdr.sgml : 20180516
20180516112619
ACCESSION NUMBER: 0001209191-18-030390
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20180515
FILED AS OF DATE: 20180516
DATE AS OF CHANGE: 20180516
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welch Richard S.
CENTRAL INDEX KEY: 0001728008
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-21625
FILM NUMBER: 18839230
MAIL ADDRESS:
STREET 1: C/O COLONY NORTHSTAR, INC.
STREET 2: 515 S. FLOWER STREET
CITY: LOS ANGELES
STATE: CA
ZIP: 90071
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: 1229
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2018-05-15
0
0001021270
FAMOUS DAVES OF AMERICA INC
DAVE
0001728008
Welch Richard S.
12701 WHITEWATER DR.
SUITE 190
MINNETONKA
MN
55343
1
0
0
0
Common Stock
0
D
/s/ Richard S. Welch
2018-05-16
EX-24.3_789231
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
I, Richard S. Welch, hereby authorize and designate each of J.C. Anderson,
Getey Ritchott, and Paul Malazita as my true and lawful attorney-in-fact to:
1. execute for and on my behalf, in my capacity as an officer and/or director of
Famous Dave's of America, Inc. (the "Company"), Forms 3, 4, and 5, in accordance
with Section 16(a) of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and the rules and regulations promulgated thereunder, and other
forms or reports on my behalf as I may be required to file in connection with my
ownership, acquisition, or disposition of securities of the Company, including
Form 144.
2. do and perform any and all acts for and on my behalf that may be necessary or
desirable to complete and execute any such Form 3, 4, or 5 or other form or
report, including any amendments thereto, and timely file such form or report
with the Securities and Exchange Commission, any stock exchange or similar
authority, and the Financial Industry Regulatory Authority; and
3. take any other action of any type whatsoever in connection with the foregoing
that, in the opinion of such attorney-in-fact, may be to my benefit, in my best
interest, or legally required of me, it being understood that the statements
executed by such attorney-in-fact on my behalf pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
I hereby further grant to each such attorney-in-fact full power and authority to
do and perform any and every act and thing whatsoever requisite, necessary, or
proper to be done in the exercise of any of the rights and powers therein
granted, as fully to all intents and purposes as I might or could do if
personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. I hereby acknowledge that the foregoing attorneys-in-fact, in serving
in such capacity at my request, are not assuming, nor is the Company assuming,
any of my responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until I am no
longer required to file a Form 144, 3, 4 and 5 with respect to my holdings of
and transactions in securities issued by the Company, unless earlier revoked by
me in a signed writing delivered to the foregoing attorneys-in-fact.
Notwithstanding the foregoing, if any such attorney-in-fact hereafter ceases to
be at least one of the following: (i) an employee of the Company, (ii) a
partner of Gray Plant Mooty Mooty & Bennett, or (iii) an employee of Gray Plant
Mooty Mooty & Bennett, then this Power of Attorney shall be automatically
revoked solely as to such individual, immediately upon such cessation, without
any further action on my part.
I hereby revoke all previous Powers of Attorney that have been granted by me in
connection with my reporting obligations under Section 16 of the Exchange Act
with respect to my holdings of and transactions in securities issued by the
Company.
IN WITNESS WHEREOF, I have executed this Power of Attorney as of this 11th day
of May, 2018.
/s/ Richard S. Welch