-----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, RTSaXCb8wPpifKnzKlXAgf+pC7wkQImzw8PYN0b1hpqutYmxKmb7NxgO8KS7A2Qa wE4bYEw5Fhev+a/3hSy3aQ== 0001209191-05-009409.txt : 20050214 0001209191-05-009409.hdr.sgml : 20050214 20050214181057 ACCESSION NUMBER: 0001209191-05-009409 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050210 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILEY PAUL T CENTRAL INDEX KEY: 0001029733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18590 FILM NUMBER: 05613445 BUSINESS ADDRESS: STREET 1: 601 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 3033840200 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 bdn22494_bdn3ptb.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-02-10 0000825324 GOOD TIMES RESTAURANTS INC GTIM 0001029733 BAILEY PAUL T 601 CORPORATE CIRCLE GOLDEN CO 80401 0 0 1 0 Series B Convertible Preferred Stock 2005-02-10 4 P 0 180000 2.50 A 2005-02-10 Common Stock 180000 180000 I Affiliate of The Erie County Investment Co. The Series B Convertible Stock converts on a one for one basis into Common Stock. The Series B Convertible Stock does not have a stated expiration date. Paul T. Bailey By: William D. Whitehurst, Power of Attorney 2005-02-14 -----END PRIVACY-ENHANCED MESSAGE-----