-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FxLYImhWnosfndy2pWYfm1w5hI9p8HWlZCAXRmrPrvPKSTrwW2fv0ZxzXSLbpDhC 3eD8B+mVjlithxu37WbWZw== 0000825324-01-500024.txt : 20020412 0000825324-01-500024.hdr.sgml : 20020412 ACCESSION NUMBER: 0000825324-01-500024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011030 FILED AS OF DATE: 20011204 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GOOD TIMES RESTAURANTS INC CENTRAL INDEX KEY: 0000825324 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 841133368 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18590 FILM NUMBER: 1805668 BUSINESS ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 3033841400 MAIL ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 FORMER COMPANY: FORMER CONFORMED NAME: PARAMOUNT VENTURES INC DATE OF NAME CHANGE: 19900205 COMPANY DATA: COMPANY CONFORMED NAME: GOOD TIMES RESTAURANTS INC CENTRAL INDEX KEY: 0000825324 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] DIRECTOR IRS NUMBER: 841133368 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 3033841400 MAIL ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 FORMER COMPANY: FORMER CONFORMED NAME: PARAMOUNT VENTURES INC DATE OF NAME CHANGE: 19900205 4 1 bj4.htm DAN W. JAMES FILING

F O R M 4

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

OMB Approval

   

OMB Number 3235-0287

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility

Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

Expires: December 31, 2001

Estimated average burden
hours per response 0.5

(Print or Type Responses)

  1. Name and Address of Reporting Person*
  2. James Dan W.

  • Issuer Name and Ticker or Trading Symbol
  • Good Times Restaurants Inc. GTIM

    6. Relationship of Reporting Person(s) to Issuer
    (Check all applicable)

     

    X

    Director

    10% Owner

    (Last) (First) (Middle)

  • I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
  • Statement for Month/Year
  • 10/01

     

    Officer (give title below)

    Other (specify below)

    601 Corporate Circle

     

     
     

    (Street

  • If Amendment, Date of Original (Month/Year)
  • 7. Individual or Joint/Group Filing
    (Check Applicable Line)

    Golden CO 80401

     

    X

    Form filed by One Reporting Person

    Form filed by More than One Reporting Person

    (City) (State) (Zip)

    Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

    1. Title of Security
    (Instr. 3)

    2. Transaction Date (Month/ Day/Year)

    3. Transaction Code
    (Instr. 8)

    4. Securities Acquired (A) or
    Disposed of (D)
    (Instr. 3, 4 and 5)

    5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4)

    6. Ownership
    Form: Direct (D) or Indirect (I) (Instr. 4)

    7. Nature of Indirect Beneficial Ownership (Instr. 4)

    Code

    V

    Amount

    (A) or (D)

    Price

                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       

    Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
    * If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (3-99)

    1. Title of Derivative Security (Instr. 4)

    2. Conversion or Exercise Price of Derivative Security

    3. Transaction Date (Month/ Day/Year)

    4. Transaction 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 (Month/Day/Year)

    7. Title and Amount of Underlying Securities (Instr. 3 and 4)

    8. Price of Derivative Security (Instr. 5)

    9. Number of Derivative Securities Beneficially Owned at End of Month (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

    Non-Statutory Stock Options (right to buy)

    $1.75

    10/01/00

    A

    V

    6,000

    10/01/01

    10/01/06

    Common Stock

    6,000

    14,000

    D

                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 

    Explanation of Responses:

    ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.

    /s/ Dan W. James

    December 3, 2001

    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.

    Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

    **Signature of Reporting Person

    Date

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