| 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 | | OMB APPROVAL | | OMB Number: | 3235-0287 | | Expires: | February 28, 2011 | | Estimated average burden | | hours per response | 0.5 |
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| 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*
| 641 LEXINGTON AVENUE, 17TH FLOOR | |
(Street)
| 2. Issuer Name and Ticker or Trading Symbol BUFFALO WILD WINGS INC
[BWLD] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)| X | Director | | 10% Owner | | Officer (give title below) | | Other (specify below) | |
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3. Date of Earliest Transaction (Month/Day/Year) 10/30/2009 |
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 |
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| 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 |
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Common Stock
| 10/30/2009 | | S | |
100
| D | $
41.268
|
3,989
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D
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|
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Common Stock
| 10/30/2009 | | S | |
100
| D | $
41.267
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3,889
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D
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|
|
Common Stock
| 10/30/2009 | | S | |
100
| D | $
41.258
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3,789
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D
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Common Stock
| 10/30/2009 | | S | |
200
| D | $
41.249
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3,589
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D
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Common Stock
| 10/30/2009 | | S | |
500
| D | $
41.204
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3,089
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D
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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 Underlying Securities (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 of Derivative Security: 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 |
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Stock Option (right to buy)
| $
5.63
| | | | | | | | 09/05/2012 |
Common Stock
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1,334
| |
1,334
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D
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|
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Stock Option (right to buy)
| $
5.63
| | | | | | | | 12/05/2012 |
Common Stock
|
1,334
| |
1,334
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D
|
|
|
Stock Option (right to buy)
| $
6.38
| | | | | | | | 03/06/2013 |
Common Stock
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1,334
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1,334
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D
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Stock Option (right to buy)
| $
9.08
| | | | | | | | 05/29/2013 |
Common Stock
|
500
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500
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D
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| Explanation of Responses: |
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| /s/ Elizabeth M. Dunshee as Attorney-in-Fact for J. Oliver Maggard pursuant to Power of Attorney filed herewith. | 11/03/2009 |
| ** 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).
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| 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. |
EX-24
The undersigned hereby constitutes and appoints Mary J. Twinem, James M.
Schmidt, Emily Decker, Robert K. Ranum, Elizabeth M. Dunshee and Mary Beth
Marti, or any one of them acting alone, the undersigned's true and lawful
attorney-in-fact and agent with full power of substitution and resubstitution,
for the undersigned and in the undersigned's name, place and stead, in any and
all capacities, to sign (i) a Form ID or any amendment or authentication with
respect to a Form ID and (ii) any or all Forms 3, 4 or Form 5 relating to
beneficial ownership of securities of Buffalo Wild Wings, Inc. (the "Issuer"),
to file the same, with all exhibits thereto and other documents in connection
therewith, with the Securities and Exchange Commission and to deliver a copy of
the same to the Issuer, granting unto said attorney-in-fact and agent full
power and authority to do and perform each and every act and thing requisite
and necessary to be done in and about the premises, as fully to all intents and
purposes as the undersigned might or could do in person, hereby ratifying and
confirming all said attorney-in-fact and agent, or his substitute or
substitutes, may lawfully do or cause to be done by virtue thereof. The
undersigned acknowledges that the foregoing attorney-in-fact, in serving in
such capacity at the request of the undersigned, is not assuming any of the
undersigned's responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934.
This Power of Attorney shall remain in effect until such time as the
undersigned is no longer subject to the provisions of Section 16 of the
Securities Exchange Act of 1934 with respect to securities of the Issuer.
The undersigned hereby indemnifies the attorneys-in-fact for all losses
and costs the attorneys-in-fact may incur in connection with or arising from
the attorneys-in-fact's execution of their authorities granted hereunder.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 13th day August, 2009.
/s/ J. Oliver Maggard
J. Oliver Maggard