0001195734-23-000050.txt : 20230411 0001195734-23-000050.hdr.sgml : 20230411 20230411201048 ACCESSION NUMBER: 0001195734-23-000050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230407 FILED AS OF DATE: 20230411 DATE AS OF CHANGE: 20230411 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: 23814440 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: 1225 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_168125823714523.xml FORM 4 X0407 4 2023-04-07 0 0001195734 POTBELLY CORP PBPB 0001809361 Cirulis Steven 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, Chief Financial Officer 0 Common Stock 2023-04-07 4 A 0 31172 0 A 326422 D Performance Stock Units 2023-04-07 4 A 0 31172 0 A Common Stock 31172.0 31172 D Represents an award of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. These restricted stock units vest in equal installments on April 7, 2024, April 7, 2025 and April 7, 2026. Represents an award of performance stock units which vest based on performance versus certain metrics as described in the award agreement. /s/ Steven Cirulis 2023-04-11