Form 4 Good Times Restaurants For: Nov 16 Filed by: BAILEY GEOFFREY R

November 20, 2017 5:11 PM
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: December 31, 2014
Estimated average burden
hours per response: 0.5
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 *
BAILEY GEOFFREY R

(Last) (First) (Middle)
601 CORPORATE CIRCLE

(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)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/16/2017
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 11/16/2017 M 1,867 (1) A $ 0 7,524 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
Non Qualified Stock Option $ 4.41 11/14/2008 11/14/2018 Common 666 666 D
Non Qualified Stock Option $ 3.45 11/06/2009 11/06/2019 Common 666 1,332 D
Non Qualified Stock Option $ 1.56 12/13/2010 12/13/2020 Common 666 1.998 D
Non Qualified Stock Option $ 1.31 12/14/2011 12/14/2021 Common 5,000 6,998 D
Non Qualified Stock Option $ 2.31 01/02/2013 01/02/2023 Common 2,000 8,998 D
Non Qualified Stock Option $ 2.44 09/27/2013 09/27/2023 Common 5,000 13,998 D
Non Qualified Stock Option $ 7.79 (2) 03/13/2025 Common 7,060 21,058 D
Non Qualified Stock Option $ 5.29 (3) 11/23/2025 Common 3,781 24,839 D
Restricted Stock Unit $ 0 (4) 11/23/2018 Common 883 25,722 D
Restricted Stock Unit $ 0 (5) 11/16/2019 Common 3,733 29,455 D
Explanation of Responses:
1. Represents the conversion upon vesting of restricted stock awards into common stock (the "Converted Common Stock "). The reporting person was granted 5,600 restricted stock units on November 16, 2016 of which 1/3 of the shares of the grant vested on November 16, 2017. Such restricted stock units were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
2. These Non-Qualified Stock Options vest in three equal annual installments with the first installment vesting March 13, 2016.
3. These Non-Qualified Stock Options vest in three equal annual installments with the first installment vesting November 23, 2016.
4. The reporting person was granted 1,324 restricted stock units on November 23, 2015 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 reporting person was granted 5,600 restricted stock units on November 16, 2016 vesting at 1/3 of the shares of the grant vested on November 16, 2017. Such restricted stock units were previously reported in Table II on a Form 4 filed with the Securities and Exchange Commission.
Geoffrey R. Bailey 11/20/2017
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

Categories

SEC Filings