0001195734-24-000041.txt : 20240403 0001195734-24-000041.hdr.sgml : 20240403 20240403183025 ACCESSION NUMBER: 0001195734-24-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240401 FILED AS OF DATE: 20240403 DATE AS OF CHANGE: 20240403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Jeffrey CENTRAL INDEX KEY: 0001789923 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 24820684 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] ORGANIZATION NAME: 07 Trade & Services IRS NUMBER: 364466837 FISCAL YEAR END: 1231 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 wk-form4_1712183407.xml FORM 4 X0508 4 2024-04-01 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 2024-04-01 4 F 0 1861 11.62 D 129487 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on April 1, 2022. /s/ Jeffrey Douglas 2024-04-03