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*
LEFEVER SCOTT

(Last) (First) (Middle)
651 CORPORATE CIRCLE, SUITE 200

(Street)
GOLDEN CO 80401

(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)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President of Operations
3. Date of Earliest Transaction (Month/Day/Year)
06/08/2021
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 Stock 06/08/2021 S 19,616 D $4 0 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
Restricted Stock Units $0.00 11/16/2020(1) 11/16/2021 Common Stock 3,186 3,186 D
Restricted Stock Units $0.00 06/27/2018(2) 06/27/2021 Common Stock 3,138 6,324 D
Incentive Stock Options $5.29 11/23/2015(3) 11/23/2025 Common Stock 7,089 13,413 D
Incentive Stock Options (Right to Buy) $3.15 11/16/2016(4) 11/16/2026 Common Stock 12,500 25,913 D
Incentive Stock Options (Right to buy) $3.55 06/27/2018(5) 06/27/2028 Common Stock 11,424 37,337 D
Incentive Stock Options (Right to buy) $4.25 07/23/2018(6) 07/23/2028 Common Stock 4,443 41,780 D
Incentive Stock Options (Right to buy) $4.66 11/16/2018(7) 11/16/2028 Common Stock 8,703 50,483 D
Explanation of Responses:
1. The Reporting Person was granted 9,556 Restricted Stock Units on November 16, 2018 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.
2. The Reporting Person was granted 9,412 Restricted Stock Units on June 27, 2018 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.
3. The Reporting Person was granted 7,089 Incentive Stock Options (Right to Buy) on November 23, 2015 vesting at 1/5 of the total amount granted over five years. Such Incentive Stock Options were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
4. The Reporting Person was granted 12,500 Incentive Stock Options (Right to Buy) on November 16, 2016 vesting at 1/5 of the total amount granted over five years. Such Incentive Stock Options were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
5. The Reporting Person was granted 11,424 Incentive Stock Options (Right to Buy) on June 27, 2018 vesting at 1/5 of the total amount granted over five years. Such Incentive Stock Options were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
6. The Reporting Person was granted 4,443 Incentive Stock Options (Right to Buy) on July 23, 2018 vesting at 1/5 of the total amount granted over five years. Such Incentive Stock Options were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
7. The Reporting Person was granted 8,703 Incentive Stock Options (Right to Buy) on November 16, 2018 vesting at 1/5 of the total amount granted over five years. Such Incentive Stock Options were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
Remarks:
Scott G. LeFever 06/08/2021
** 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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