-----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, L/gDm18jr9qSA4eHgePwgwOQMHxm7UiqKdoa6WlOahtPGqRxA2Mi8V8vMY+yWYNX iXKXyh26Ei3sYJ/cj6uDTQ== 0001317300-05-000004.txt : 20050214 0001317300-05-000004.hdr.sgml : 20050214 20050214175737 ACCESSION NUMBER: 0001317300-05-000004 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: Grissen Dave CENTRAL INDEX KEY: 0001317300 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18590 FILM NUMBER: 05613322 BUSINESS ADDRESS: BUSINESS PHONE: 303-384-1440 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 X0202 4 2005-02-10 0 0000825324 GOOD TIMES RESTAURANTS INC gtim 0001317300 Grissen Dave 601 CORPORATE CIRCLE GOLDEN CO 80401 1 0 0 0 Series B Convertible Preferred Stock 2005-02-10 4 A 0 200000 2.5 A 2005-02-10 Common Stock, $0.001 par value 200000 200000 D The Series B Convertible Preferred Stock is convertible into Common Stock on a 1-for-1 basis, subject to certain anti-dilution provisions. The right to convert is exercisable immediately and does not expire. /s/ Dave Grissen 2005-02-10 -----END PRIVACY-ENHANCED MESSAGE-----