0001195734-23-000069.txt : 20230501
0001195734-23-000069.hdr.sgml : 20230501
20230501172124
ACCESSION NUMBER: 0001195734-23-000069
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230428
FILED AS OF DATE: 20230501
DATE AS OF CHANGE: 20230501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Douglas Jeffrey
CENTRAL INDEX KEY: 0001789923
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 23875222
MAIL ADDRESS:
STREET 1: 111 N. CANAL STREET, 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_168297607100068.xml
FORM 4
X0407
4
2023-04-28
0
0001195734
POTBELLY CORP
PBPB
0001789923
Douglas Jeffrey
111 N. CANAL
SUITE 325
CHICAGO
IL
60606
0
1
0
0
SVP, Chief Information Officer
0
Common Stock
2023-04-28
4
F
0
2051
10.85
D
147185
D
Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on April 26, 2021.
/s/ Jeffrey Douglas
2023-05-01