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