0001195734-22-000033.txt : 20220415 0001195734-22-000033.hdr.sgml : 20220415 20220415160558 ACCESSION NUMBER: 0001195734-22-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220414 FILED AS OF DATE: 20220415 DATE AS OF CHANGE: 20220415 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cirulis Steven CENTRAL INDEX KEY: 0001809361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 22830099 MAIL ADDRESS: STREET 1: 111 N. CANAL ST. STREET 2: 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 wf-form4_165005314153700.xml FORM 4 X0306 4 2022-04-14 0 0001195734 POTBELLY CORP PBPB 0001809361 Cirulis Steven 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, Chief Financial Officer Common Stock 2022-04-14 4 F 0 2930 6.67 D 316416 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on May 20, 2021. /s/ Steven Cirulis 2022-04-15