0000899243-22-001591.txt : 20220111 0000899243-22-001591.hdr.sgml : 20220111 20220111172332 ACCESSION NUMBER: 0000899243-22-001591 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220107 FILED AS OF DATE: 20220111 DATE AS OF CHANGE: 20220111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Jeffrey CENTRAL INDEX KEY: 0001789923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 22524729 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET, SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: POTBELLY CORP CENTRAL INDEX KEY: 0001195734 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 364466837 FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 325 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3129510600 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 325 CITY: CHICAGO STATE: IL ZIP: 60606 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-01-07 0 0001195734 POTBELLY CORP PBPB 0001789923 Douglas Jeffrey 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, Chief Information Officer Common Stock 2022-01-07 4 S 0 12500 5.69 D 131931 D The sale occurred pursuant to an existing Rule 10b5-1 plan adopted by the Reporting Person. Represents the weighted average price of the shares sold. The prices of the shares sold pursuant to the transaction ranged from $5.65 to $5.75 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price. /s/ Jeffrey Douglas 2022-01-11