-----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, C300Ua69Z0YrIOu+y5DfXRB7+ryYxsLFnhcecOXDCnfnv5CNYBN+LWHUMrPZpy6S NLpEJdDWoX/cWX4XXff7Xg== 0001001348-98-000140.txt : 19981230 0001001348-98-000140.hdr.sgml : 19981230 ACCESSION NUMBER: 0001001348-98-000140 CONFORMED SUBMISSION TYPE: 5/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981229 FILED AS OF DATE: 19981229 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: 5/A SEC ACT: SEC FILE NUMBER: 000-18590 FILM NUMBER: 98776908 BUSINESS ADDRESS: STREET 1: 8620 WOLFF CT STE 330 CITY: WESTMINSTER STATE: CO ZIP: 80030 BUSINESS PHONE: 3034274221 MAIL ADDRESS: STREET 1: 8620 WOLFF COURT STREET 2: SUITE 330 CITY: WESTMINSTER STATE: CO ZIP: 80030 FORMER COMPANY: FORMER CONFORMED NAME: PARAMOUNT VENTURES INC DATE OF NAME CHANGE: 19900205 COMPANY DATA: COMPANY CONFORMED NAME: STARK RICHARD JOSEPH CENTRAL INDEX KEY: 0000874771 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR IRS NUMBER: 481482945 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5/A BUSINESS ADDRESS: STREET 1: 6075 S QUEBEC STREET 2: STE 103 CITY: ENGLEWOOD STATE: CO ZIP: 80111-4534 BUSINESS PHONE: 3038378800 MAIL ADDRESS: STREET 1: 6075 S QUEBEC STREET STREET 2: SUITE 103 CITY: ENGLEWOOD STATE: CO ZIP: 80111 5/A 1 FORM 5/A - 12/29/98 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). () Form 3 Holdings Reported (x) Form 4 Transactions Reported 1. Name and Address of Reporting Person Stark, Richard 6075 S. Quebec Ste. 103 Englewood, CO USA 80111 2. Issuer Name and Ticker or Trading Symbol Good Times Restaurants Inc. GTIM 3. IRS Identification Number of Reporting Person, if an entity (voluntary) 4. Statement for Month/Year 12/29/98 5. If Amendment, Date of Original (Month/Day/Year) 09/30/98 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (x) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 7. Individual or Joint/Group Filing (Check applicable line) (x) Form Filed by One Reporting Person ( ) Form Filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock Class A |2/9/19|P4 |2000 |A |$2.05 |6600 |D | | |98 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock Class A |2/10/1|P4 |1600 |A |$1.90 |6600 |D | | |998 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________|
/s/ Richard Stark SIGNATURE OF REPORTING PERSON /Signature/ Richard Stark DATE 12/29/1998 -----END PRIVACY-ENHANCED MESSAGE-----