U.S. SECURITIES AND EXCHANGE COMMISSION -------------- WASHINGTON, D.C. 20549 OMB APPROVAL -------------- - -------- STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB NUMBER: 3235-0287 FORM 4 EXPIRES: SEPTEMBER 30, 1998 - -------- ESTIMATED AVERAGE BURDEN /X/ CHECK THIS BOX IF NO HOURS PER RESPONSE.......0.5 LONGER SUBJECT TO SECTION 16. FORM 4 OR FILED PURSUANT TO SECTION 16(a) OF THE SECURITIES EXCHANGE ACT OF 1934, FORM 5 OBLIGATIONS MAY SECTION 17(a) OF THE PUBLIC UTILITY HOLDING Company Act of 1935 or CONTINUE. SEE Section 30(f) of the Investment Company Act of 1940 INSTRUCTION 1(b) - ----------------------------------------------------------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director X 10% Owner(1) Nathans Famous, Inc. NATH ---- ---- Hackel, Kenneth S. - ------------------------------------------------------------------------------------------ Officer (give Other (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- title ---- (specify Number of Reporting Month/Year below) below) Person (Voluntary) --------------- ------------------ P.O. Box 726 September 1999 - ----------------------------------------- ------------------ 7. Individual or Joint/Group Filing (Street) 5. If Amendment, (Check Applicable Line) Date of Original X Form filed by One Reporting Person (Month/Year) ---- Form filed by More than One ----Reporting Person Alpine, New Jersey 07620 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired(A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 8) Owned at Direct Bene- (Month/ End of (D) or ficial Day/ ------------------------------------------ Month Indirect Owner- Year) (A) or (I) ship Code V Amount (D) Price (Instr. 3 (Instr. 4) (Instr. 4) and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common stock, $0.01 par value per share 9/24/99 P 400 A $3.1250 D - ------------------------------------------------------------------------------------------------------------------------------------ Common stock, $0.01 par value per share 9/28/99 P 50,000 A $3.0625 D - ------------------------------------------------------------------------------------------------------------------------------------ Common stock, $0.01 par value per share 9/29/99 P 40,100 A $3.0625 D - ------------------------------------------------------------------------------------------------------------------------------------ Common stock, $0.01 par value per share 9/30/99 U** 75,600 A ** D - ------------------------------------------------------------------------------------------------------------------------------------ TOTAL 669,300 - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Table of Derivative Security 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Security sion or action action Derivative Exercisable (Instr. 3) Exercise Date Code Securities and Price of (Month/ (Instr. 8) Acquired (A) Expiration Deriv- Day/ or Disposed Date ative Year) of (D) Security (Instr. 3, (Month/Day/Year) 4, and 5) - ------------------------------------------------------------------------------------------------------------------------------------ Date Expiration Code V (A) (D) Exer- Date cisable - ------------------------------------------------------------------------------------------------------------------------------------ Warrants $6.00 9/30/99 U** 18,900 9/30/99 9/30/99 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 7. Title and Amount of 8. Price of 9. Number of 10. Ownership 11. Nature of Underlying Securities Derivative Derivative Form of Indirect (Instr. 3 and 4) Security Securities Derivative Beneficial (Instr. 5) Bene- Security: Ownership ficially Direct (D) or (Instr. 4) Owned at Indirect (I) End of (Instr. 4) Month (Instr. 4) - ------------------------------------------------------------------------------------------------------------ Amount or Title Number of Shares - ------------------------------------------------------------------------------------------------------------ common stock, $0.01 par value per share 18,900 ** 18,900 D - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ Explanation of Responses: ** On September 30, 1999 the Issuer consummated a merger with Miami Subs, Inc. ("Miami Subs"). The Reporting Person held 151,201 shares (the "Miami Shares") of common stock of Miami Subs. In connection with the merger, the Reporting Person received 75,600 shares of common stock of the Issuer and warrants to purchase 18,900 shares of common stock of the Issuer in exchange for his Miami Shares. The closing price of Nathan's common stock on September 30, 1999 was $3.19. *** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /S/ KENNETH HACKEL 10/8/99 Note: File three copies of this Form, one of which must be manually signed. ---------------------------------- ------- If space provided is insufficient, SEE Instruction 6 for procedure. ***Signature of Reporting Person Date Potential persons who are to respond to the collection of information contained in this form are not Page 2 required to respond unless the form displays a currently valid OMB Number. SEC 1474 (7-96)