0001195734-16-000100.txt : 20160705
0001195734-16-000100.hdr.sgml : 20160705
20160705130841
ACCESSION NUMBER: 0001195734-16-000100
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160701
FILED AS OF DATE: 20160705
DATE AS OF CHANGE: 20160705
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: 1231
BUSINESS ADDRESS:
STREET 1: 111 N. CANAL
STREET 2: SUITE 850
CITY: CHICAGO
STATE: IL
ZIP: 60606
BUSINESS PHONE: 3129510600
MAIL ADDRESS:
STREET 1: 111 N. CANAL
STREET 2: SUITE 850
CITY: CHICAGO
STATE: IL
ZIP: 60606
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: REVORD MATTHEW J
CENTRAL INDEX KEY: 0001587682
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 161749633
MAIL ADDRESS:
STREET 1: C/O POTBELLY CORPORATION
STREET 2: 111 NORTH CANAL, SUITE 850
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
4
2016-07-01
0
0001195734
POTBELLY CORP
PBPB
0001587682
REVORD MATTHEW J
111 N. CANAL
SUITE 850
CHICAGO
IL
60606
0
1
0
0
SVP, GC and Secretary
Common Stock
2016-07-01
4
M
0
30000.0
8.0
A
30000
D
Common Stock
2016-07-01
4
S
0
30000.0
12.4641
D
0
D
Common Stock
13775
I
by Trust
Non-Qualified Stock Option (right to buy)
8.0
2016-07-01
4
M
0
30000.0
0.0
D
2017-01-08
Common Stock
30000
70000
D
These shares were sold in compliance with a trading plan adopted by the reporting person pursuant to Rule 10b5-1 under the Securities Exchange Act of 1934, as amended.
The stock options vested and became exercisable prior to Potbelly Corporation's initial public offering.
By: Robyn Martin For: Matthew Revord
2016-07-05