-----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, A3D8YskaZQmJFiHUh2J5erg5xDLZGPQ0UdGGVtILFILHj0HArimoReUcHNpYdTI9 byy2ZCUjqHQ7nLYluw1z9w== 0000825324-01-500032.txt : 20020412 0000825324-01-500032.hdr.sgml : 20020412 ACCESSION NUMBER: 0000825324-01-500032 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011001 FILED AS OF DATE: 20011210 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18590 FILM NUMBER: 1809271 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] OFFICER IRS NUMBER: 841133368 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 3 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 3 1 skf4.htm SUSAN M. KNUTSON

F O R M 3

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

OMB Approval

   

OMB Number 3235-014

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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.  

     

     

    Knutson Susan M.

  • Date of Event
    Requiring Statement
    (Month/Day/Year)
  • December 7, 2001

    1. Issuer Name and Ticker or Trading Symbol
    2.  

      GTIM

  • Relationship of Reporting Person(s) to Issuer
    (Check all applicable)
  • 6. If Amendment, Date of Original
    (Month/Day/Year)

    (Last) (First) (Middle)

    601 Corporate Circle

    3. I.R.S. Identification Number of Reporting Person, if an entity
    (Voluntary)

    Director

    10% Owner

    7. Individual or Joint/Group
    (Check Applicable Line)

    x

    Officer (give title below)

    Other (specify below)

    (Street)

    Controller

    x

    Form filed by One Reporting Person

    Golden CO 80401

    Form filed by More than One Reporting Person

    (City) (State) (Zip)

    Table I Non-Derivative Securities Beneficially Owned

    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)

    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 5(b)(v). SEC 1473 (3-99)

    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 of Derivative Security: 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

    Employee Incentive Stock Option

    *

    10/1/2011

    Common Stock

    7,400

    $1.75

    D

    Non-Statutory Stock Option

    10/1/2001

    10/1/2006

    Common Stock

    2,430

    $1.75

    D

     
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   

    Explanation of Responses:

     

    * The Option vests 10% after the first year, an additional 20% after the second year, and an additional 30% after the third year and becomes fully vested after the fourth year

    ** 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.

    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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