0000913849-14-000120.txt : 20140321 0000913849-14-000120.hdr.sgml : 20140321 20140321172036 ACCESSION NUMBER: 0000913849-14-000120 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20140321 DATE AS OF CHANGE: 20140321 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: POTBELLY CORP CENTRAL INDEX KEY: 0001195734 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-87909 FILM NUMBER: 14711191 BUSINESS ADDRESS: STREET 1: 222 MERCHANDISE MART PLAZA STREET 2: 23RD FLOOR CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 3129510600 MAIL ADDRESS: STREET 1: 222 MERCHANDISE MART PLAZA STREET 2: 23RD FLOOR CITY: CHICAGO STATE: IL ZIP: 60654 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KEIL BRYANT L CENTRAL INDEX KEY: 0001587656 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: C/O POTBELLY CORPORATION STREET 2: 222 MERCHANDISE MART PLAZA, 23RD FLOOR CITY: CHICAGO STATE: IL ZIP: 60654 SC 13G 1 sc13g_031814.htm SCHEDULE 13G sc13g_031814.htm
 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
 
__________
 
SCHEDULE 13G

 
Under the Securities Exchange Act of 1934
 
(Amendment No. __)*
 

Potbelly Corporation
(Name of Issuer)
 
Common Stock, $0.01 par value per share
(Title of Class of Securities)
 
73754Y100
(CUSIP Number)
 
December 31, 2013
(Date of Event Which Requires Filing of this Statement)

 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
o           Rule 13d-1(b)
o           Rule 13d-1(c)
ý           Rule 13d-1(d)
 
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 
 
 
CUSIP No. 73754Y100
 
1.
NAME OF REPORTING PERSON
 
Bryant L. Keil
2.
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                        (a) o
                                                                                                                                    (b) o
 
3.
SEC USE ONLY
 
4.
CITIZENSHIP OR PLACE OF ORGANIZATION
 
U.S.A.
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
5.
SOLE VOTING POWER
 
1,050,471
6.
SHARED VOTING POWER
 
0
7.
SOLE DISPOSITIVE POWER
 
1,493,206
8.
SHARED DISPOSITIVE POWER
 
0
9.
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
1,493,206
10.
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES  o
 
11.
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
5.05%
12.
TYPE OF REPORTING PERSON
 
IN

 
 
 
Page 2 of 5
 
CUSIP No. 73754Y100

Item 1(a).
Name of Issuer:
 
 
Potbelly Corporation
 
Item 1(b).
Address of Issuer’s Principal Executive Offices:
 
 
222 Merchandise Mart Plaza, 23rd Floor
Chicago, IL  60654
 
Item 2(a).
Name of Person Filing:
 
 
Bryant L. Keil
 
Item 2(b).
Address of Principal Business Office or, if none, Residence:
 
 
c/o Potbelly Corporation
222 Merchandise Mart Plaza, 23rd Floor
Chicago, IL  60654
 
Item 2(c).
Citizenship:
 
 
U.S.A.
 
Item 2(d).
Title of Class of Securities:
 
 
Common Stock, $0.01 par value per share
 
Item 2(e).
CUSIP Number:
 
 
73754Y100
 
Item 3.
If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), indicate type of person filing.
 
Not applicable
 
Item 4.
Ownership.
 
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
 
 
(a)
Amount beneficially owned:  1,493,206 shares
 
 
(b)
Percent of class:  5.05% (based on shares outstanding as of December 31, 2013)
 
 
(c)
Number of shares as to which such person has:
 
   
(i)       Sole power to vote or direct the vote:  1,050,471 shares
 
   
(ii)       Shared power to vote or direct the vote:  0
 
   
(iii)       Sole power to dispose or to direct the disposition of:  1,493,206 shares, which amount includes options to purchase 442,735 shares of common stock.
 
   
(iv)       Shared power to dispose or to direct the disposition of:  0

 
 
 
Page 3 of 5
 
CUSIP No. 73754Y100

Item 5.
Ownership of Five Percent or Less of a Class.
 
 
Not applicable.
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person.
 
 
Not applicable
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
 
 
Not applicable.
 
Item 8.
Identification and Classification of Members of the Group.
 
 
Not applicable.
 
Item 9.
Notice of Dissolution of Group.
 
 
Not applicable.
 
Item 10.
Certifications.
 
 
Not applicable.
 
 
 
 
 
Page 4 of 5
 
CUSIP No. 73754Y100
 
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
 
March 21, 2014
 
Date
 
 
/s/Bryant L. Keil
 
Signature
   
   

 
 
 
Page 5 of 5