SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HOBACK BOYD E

(Last) (First) (Middle)
141 UNION BOULEVARD, #400

(Street)
LAKEWOOD CO 80228

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Good Times Restaurants Inc. [ GTIM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President, CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/15/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (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 Following Reported Transaction(s) (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
Common 08/15/2017 A 4,500 A $2.85 75,879 D
Common 08/15/2017 A 800 A $2.8464 76,679 D
Common 08/15/2017 A 700 A $2.8 77,379 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (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 Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: 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
Incentive Stock Option $4.41 11/14/2011 11/14/2018 Common 9,501 9,501 D
Incentive Stock Option $3.45 11/06/2012 11/06/2019 Common 4,551 14,052 D
Incentive Stock Option $1.56 12/13/2013 12/13/2020 Common 10,647 24,699 D
Non Qualified Stock Option $1.31 12/14/2014 12/14/2021 Common 5,000 29,699 D
Incentive Stock Option $2.31 01/02/2016 01/02/2023 Common 45,696 75,395 D
Incentive Stock Option $2.48 11/21/2016 11/21/2023 Common 44,000 119,395 D
Incentive Stock Option $7.79 (1) 03/13/2025 Common 38,511 157,906 D
Non Qualified Stock Option $7.79 (2) 03/13/2025 Common 38,511 196,714 D
Incentive Stock Option $5.29 (3) 11/23/2025 Common 16,635 213,052 D
Restricted Stock Unit $0.00 (4) 11/23/2018 Common 8,151 221,203 D
Incentive Stock Option $3.15 (5) 11/16/2026 Common 29,333 250,536 D
Restricted Stock Unit $0.00 (6) 11/16/2019 Common 19,551 270,087 D
Explanation of Responses:
1. The Incentive Stock Options vest in three equal annual installments with the first installment vesting March 13, 2016.
2. These Non-Qualified Stock Options vest in three equal annual installments with the first installment vesting March 13, 2016.
3. The Incentive Stock Options vest in three equal annual installments with the first installment vesting November 23, 2016.
4. The reporting person was granted 12,227 restricted stock units of which 1/3 of the shares of the grant vested on November 23, 2016. Such restricted stock units were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
5. The Incentive Stock Options vest in three equal annual installments with the first installment vesting November 16, 2017.
6. The reporting person was granted 19,551 restricted stock units on November 16, 2016 vesting at 1/3 of the total granted amount over three years. Such restricted stock units were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
Remarks:
Boyd E. Hoback 08/17/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** 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.
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