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