Document:

Exhibit 4.7

 

[FORM OF BENEFICIAL OWNER ELECTION FORM]

 

THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE COMPANY’S PROSPECTUS DATED                , 2018 (THE “PROSPECTUS”) AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC., THE SUBSCRIPTION AGENT, BY CALLING (855) 793-5068.

 

FAMOUS DAVE’S OF AMERICA, INC.

 

BENEFICIAL OWNER ELECTION FORM

 

I (We), the beneficial owner(s) of shares of common stock, par value $0.01 per share (the “Common Stock”), of Famous Dave’s of America, Inc., a Minnesota corporation (the “Company”), acknowledge receipt of your letter, the prospectus dated                 , 2018 (the “Prospectus”), and the other enclosed materials relating to the offering of shares of Common Stock issuable upon the exercise of subscription rights (“Subscription Rights”) as described in the Prospectus.

 

In this form, I (we) instruct you whether to exercise Subscription Rights to purchase shares of Common Stock distributed with respect to the Common Stock held by you for my (our) account, pursuant to the terms and subject to the conditions set forth in the Prospectus.

 

I (We) hereby instruct you as follow:

 

(CHECK THE APPLICABLE BOXES AND PROVIDE ALL REQUIRED INFORMATION)

 

Box 1. o Please DO NOT EXERCISE SUBSCRIPTION RIGHTS for shares of Common Stock.

 

Box 2. o Please EXERCISE SUBSCRIPTION RIGHTS for shares of Common Stock as set forth below.

 

The number of Subscription Rights for which the undersigned gives instructions for exercise under the basic subscription privilege should not exceed the number of Subscription Rights that the undersigned is entitled to exercise.

 

	
 
    	
 
    	
Number of Shares of
   Common Stock
   Subscribed For
    	
 
    	
Per Share
   Subscription Price
    	
 
    	
Payment
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Basic   Subscription
    	
 
    	
 
    	
x
    	
$
    	
3.50
    	
=
    	
$
    	
(Line 1)
    	
 
    
	
Over-Subscription*
    	
 
    	
 
    	
x
    	
$
    	
3.50
    	
=
    	
$
    	
(Line 2)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Total Payment Required
    	
 
    	
 
    	
 
    	
 
    	
 
    	
$
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(Sum of Lines 1 and 2)
    	
 
    

 

 

*  Stockholders must fully exercise their basic subscription privilege in order to exercise their over-subscription privilege.  If sufficient shares of Common Stock are available, the Company will seek to honor your over-subscription request in full.  If, however, over-subscription requests exceed the number of shares of Common Stock available for sale in the rights offering, the Company will allocate the available shares of Common Stock pro rata among each stockholder exercising its over-subscription privilege as described in the Prospectus.  See the discussion under the heading “The Rights Offering—The Subscription Rights” in the Prospectus.

 

(The total of Box 3 and 4 must equal the total payment specified above)

 

Box 3. o Payment in the following amount is enclosed: $          .

 

Box 4. o Please deduct payment of $           from the following account maintained by you:

 

Type of Account:                                         Account No.:

 

I (We) on my (our) behalf, or on behalf of any other person(s) on whose behalf, or under whose directions, I am (we are) signing this form:

 

·                                          irrevocably elect to purchase the number of shares of Common Stock indicated above upon the terms and conditions specified in the Prospectus; and

 

·                                          agree that if I (we) fail to pay for the shares of Common Stock I (we) have elected to purchase, you may exercise any remedies available to you under law.

 

	
Name of beneficial   owner(s):
    	
 
    
	
 
    	
 
    
	
Signature of beneficial   owner(s):
    	
 
    
	
 
    	
 
    
	
Date:
    	
 
    

 

If you are signing in your capacity as a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or another acting in a fiduciary or representative capacity, please provide the following information:

 

	
Name:
    	
 
    
	
 
    	
 
    
	
Capacity:
    	
 
    
	
 
    	
 
    
	
Address (including Zip   Code):
    	
 
    
	
 
    	
 
    

 

 

	
Telephone Number:
    	
 
    

 

PLEASE NOTE:

 

If you check Box 1, please sign and date this form and mail it to your broker, custodian bank or your other nominee that holds your shares.

 

If you do not check Box 1, please do the following:

 

·                                          Check Box 2 and fill out the table shown in Box 2.

·                                          Check Box 3 and/or Box 4 and fill out the information indicated under Box 3 and/or Box 4.

·                                          Sign and date this form and mail it to your broker, custodian bank or other nominee that holds your shares.

 

PLEASE MAKE SURE THAT YOU USE THE CORRECT ADDRESS. You may want to check this address with your broker.Exhibit 4.8

 

[FORM OF NOMINEE HOLDER CERTIFICATION]

 

THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE COMPANY’S PROSPECTUS DATED               , 2018 (THE “PROSPECTUS”) AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC., THE SUBSCRIPTION AGENT, BY CALLING (855) 793-5068.

 

FAMOUS DAVE’S OF AMERICA, INC.

 

SHARES OF COMMON STOCK

ISSUABLE UPON EXERCISE OF SUBSCRIPTION RIGHTS

 

NOMINEE HOLDER CERTIFICATION

 

The undersigned, a bank, broker, trustee, depository or other nominee holder of subscription rights (the “Subscription Rights”) to purchase shares of common stock, par value $0.01 per share (“Common Stock”), of Famous Dave’s of America, Inc., a Minnesota corporation (the “Company”), pursuant to the rights offering described in the Company’s prospectus dated                   , 2018 (the “Prospectus”), hereby certifies to the Company and Broadridge Corporate Issuer Solutions, Inc., as subscription agent for the rights offering, that (1) the undersigned has exercised on behalf of the beneficial owners thereof (which may include the undersigned), the basic subscription privilege as to the number of shares of Common Stock specified below on behalf of beneficial owners of Subscription Rights, (2) the undersigned has exercised on behalf of the beneficial owners thereof (which may include the undersigned), the over-subscription privilege as to the number of shares of Common Stock specified below, applicable only to those beneficial owners who have fully exercised their basic subscription privilege, listing separately below for each beneficial owner the basic subscription privilege and any associated over-subscription privilege (without identifying any such beneficial owner) and (3) with respect to any exercise of the over-subscription privilege described in (2) above, each such beneficial owner’s basic subscription privilege has been exercised in full:

 

	
 
    	
 
    	
Number of Shares
   Owned on Record Date
    	
 
    	
Number of Shares Subscribed For
   Pursuant to Basic Subscription
   Privilege
    	
 
    	
Number of Shares Subscribed For
   Pursuant to Over-Subscription
   Privilege
    	
 
    
	
1.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
2.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
3.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
4.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
5.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

Name of Bank, Broker, Trustee, Depository or Other Nominee

 

	
By:
    	
 
    	
 
    
	
 
    	
Authorized   Signature
    	
 
    
	
 
    	
 
    	
 
    
	
Name:
    	
 
    	
 
    
	
 
    	
(Please print or   type)
    	
 
    
	
 
    	
 
    	
 
    
	
Title:
    	
 
    	
 
    
	
 
    	
(Please print or   type)
    	
 
    

 

Provide the following information if applicable:

 

	
 
    	
 
    
	
Depository Trust Company   (“DTC”) Participant Number
    	
 
    

 

 

	
Participant:
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
By:
    	
 
    	
 
    
	
 
    	
Authorized   Signature
    	
 
    
	
 
    	
 
    	
 
    
	
Name:
    	
 
    	
 
    
	
 
    	
(Please print or   type)
    	
 
    
	
 
    	
 
    	
 
    
	
Title:
    	
 
    	
 
    
	
 
    	
(Please print or   type)
    	
 
    
				

 

DTC Confirmation Number(s)Exhibit 4.9

 

[FORM OF NOTICE OF GUARANTEED DELIVERY]

 

THE TERMS AND CONDITIONS OF THE RIGHTS OFFERING ARE SET FORTH IN THE COMPANY’S PROSPECTUS DATED      , 2018 (THE “PROSPECTUS”) AND ARE INCORPORATED HEREIN BY REFERENCE. COPIES OF THE PROSPECTUS ARE AVAILABLE UPON REQUEST FROM BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC., THE SUBSCRIPTION AGENT.

 

NOTICE OF GUARANTEED DELIVERY

FOR

SUBSCRIPTION RIGHTS CERTIFICATES

ISSUED BY

FAMOUS DAVE’S OF AMERICA, INC.

 

As set forth in Famous Dave’s of America, Inc.’s (the “Company’s”) Prospectus, dated                , 2018, under “The Rights Offering—Payment for Shares,” this form (or one substantially equivalent hereto) may be used as a means of effecting the subscription and payment for shares of common stock, par value $0.01 per share, of the Company subscribed for pursuant to the subscription privilege and the over-subscription privilege. Such form may be delivered or sent by overnight delivery or first class mail to the Subscription Agent and must be received prior to 5:00 p.m., New York City time, on                , 2018, unless extended by the Company (as it may be extended, the “Expiration Date”).

 

The Subscription Agent is:

Broadridge Corporate Issuer Solutions, Inc.

Attention: Famous Dave’s of America, Inc. Rights Offering

 

	
By Regular Mail Only
    (No Overnight/Express Mail):
   Broadridge Corporate Issuer
   Solutions, Inc.
   Attn: BCIS Re-Organization Dept.
   P.O. Box 1317
   Brentwood, NY 11717-0693
    	
 
    	
By Hand   or Overnight Delivery:
   Broadridge Corporate Issuer
   Solutions, Inc.
   Attn: BCIS IWS
   51 Mercedes Way
   Edgewood, NY 11717
    

 

DELIVERY OF THIS INSTRUMENT TO AN ADDRESS OTHER THAN AS SET FORTH ABOVE DOES NOT CONSTITUTE A VALID DELIVERY.

 

The Eligible Guarantor Institution (as that term is defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended), which may include (i) a commercial bank or trust company, (ii) a member firm of a domestic stock exchange or (iii) a savings bank or credit union, that completes this form must communicate the guarantee and the number of shares of common stock subscribed for pursuant to both the subscription right and the over-subscription right to the Subscription Agent and the Subscription Agent must receive this Notice of Guaranteed Delivery at or prior to the Expiration Date, guaranteeing delivery to the Subscription Agent of (a) full payment for all shares of common stock subscribed for pursuant to the subscription right and the over-subscription right and (b) a properly completed and duly executed Subscription Certificate. The Subscription Certificate and full payment must be received by the Subscription Agent at or prior to 5:00 p.m., New York City time, on             , 2018 (or, if the offer is extended, at or prior to 5:00 p.m., New York City time, on the third business day after the Expiration Date). Failure to timely and properly deliver this Notice of Guaranteed Delivery or to make the delivery guaranteed herein will result in a forfeiture of the rights.

 

This Notice of Guaranteed Delivery shall not be used to guarantee signatures. If a signature on the Subscription Certificate is required to be guaranteed by an Eligible Guarantor Institution (as that term is defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended) under the instructions to the Subscription Certificate, the signature guarantee must appear in the applicable space provided in the signature box on the Subscription Certificate.

 

 

GUARANTEE OF DELIVERY

 

The undersigned, an Eligible Guarantor Institution (as that term is defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended) guarantees delivery to the Subscription Agent at or prior to 5:00 p.m., New York City time, on                , 2018 (or, if the offer is extended, by the close of business on the third business day after the Expiration Date) of (i) a properly completed and duly executed Subscription Certificate and (ii) full payment of the estimated subscription price for each share of common stock subscribed for pursuant to the subscription right and the over-subscription right, if applicable, as subscription for such shares is indicated herein and on the Subscription Certificate.

 

	
 
    	
 
    	
Number of Shares of
   Common Stock
   Subscribed For
    	
 
    	
Per Share
   Subscription
   Price
    	
 
    	
Payment
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Basic   Subscription
    	
 
    	
 
    	
x
    	
$
    	
3.50
    	
=
    	
$
    	
(Line 1)
    	
 
    
	
Over-Subscription*
    	
 
    	
 
    	
x
    	
$
    	
3.50
    	
=
    	
$
    	
(Line 2)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Total Payment   Required
    	
 
    	
 
    	
 
    	
 
    	
 
    	
$
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(Sum of Lines 1 and 2)
    	
 
    

 

Method of Delivery

(Check one):

 

o Through the Depository Trust Company (“DTC”)

 

o Direct to Broadridge Corporate Issuer Solutions, Inc., as the Subscription Agent.

 

Please assign above a unique control number for each guarantee submitted. This number needs to be referenced on any direct delivery or any delivery through DTC.

 

	
 
    	
Dated:
    	
 
    	
 
    

 

	
 
    	
 
    	
 
    
	
Address
    	
 
    	
Name of Firm
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
City, State and Zip Code
    	
 
    	
Signature
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
Area Code and Telephone Number   (Contact)
    	
 
    	
Name of Authorized Signatory
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
Contact Name
    	
 
    	
DTC Participant Number
    

 

The institution that completes this form must communicate the guarantee to the Subscription Agent and must deliver the Subscription Rights Certificate to the Subscription Agent within three business days following the Expiration Date of the Rights Offering as described in the Prospectus.  Failure to do so could result in a financial loss to such institution.

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