Initial Statement of Beneficial Ownership (3)
November 29 2016 - 10:11AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
*
PRISM PARTNERS, L.P.
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2. Date of Event Requiring Statement (MM/DD/YYYY)
11/21/2016
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3. Issuer Name
and
Ticker or Trading Symbol
GOOD TIMES RESTAURANTS INC [gtim]
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(Last)
(First)
(Middle)
ONE INTERNATIONAL PLACE, SUITE 2401
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
___
X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
BOSTON, MA 02110
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Good Times Restaurants Inc common stock
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1346850
(2)
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D
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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The shares of common stock reported herein are directly held by Prism Partners, L.P. Delta Advisors, LLC is the general partner of Prism Partners, L.P. and disclaims Section 16 beneficial ownership except to the extent of its pecuniary interest in the shares of common stock.
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(
2)
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The shares reported herein are included within the shares previously reported by Delta Partners, LP, Delta Partners GP, LLC and Charles Jobson. Delta Partners, LP is the investment manager to Prism Partners, L.P. Delta Partners GP, LLC is the general partner of Delta Partners, LP. Charles Jobson is the owner of Delta Partners, LP and managing member of Delta Partners GP, LLC, and can be deemed to have investment discretion. Each of Delta Partners, LP, Delta Partners GP, LLC and Charles Jobson disclaim Section 16 beneficial ownership of the shares reported herein except to the extent of their pecuniary interest, if any.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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PRISM PARTNERS, L.P.
ONE INTERNATIONAL PLACE
SUITE 2401
BOSTON, MA 02110
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X
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Delta Advisors, LLC
ONE INTERNATIONAL PLACE
SUITE 2401
BOSTON, MA 02110
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X
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Signatures
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Charles Jobson
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11/29/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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 control number.
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