0000825324-12-000022.txt : 20121219 0000825324-12-000022.hdr.sgml : 20121219 20121219165247 ACCESSION NUMBER: 0000825324-12-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120928 FILED AS OF DATE: 20121219 DATE AS OF CHANGE: 20121219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dobbin David CENTRAL INDEX KEY: 0001400593 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18590 FILM NUMBER: 121274942 MAIL ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 ISSUER: 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 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-09-28 0 0000825324 GOOD TIMES RESTAURANTS INC GTIM 0001400593 Dobbin David 601 CORPORATE CIRCLE GOLDEN CO 80401 1 0 1 0 Common Stock 2012-09-28 4 P 0 355451 4.22 A 2099903 I I Mr. Dobbin indirectly beneficially owns 2,099,903 shares of common stock of Good Times Restaurants Inc. through his 50% ownership in Small Island Investments Ltd ("SII"). Mr. Dobbin is Chairman of the Board of SII. As of December 19, 2012, SII owns 60.93% of the outstanding common stock of Good Times Restaurants Inc. Mr. Dobbin disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. Mr. Dobbin has 5,667 shares of underlying presently exercisable stock options. /s/ David L. Dobbin 2012-12-19