0001195734-24-000053.txt : 20240408 0001195734-24-000053.hdr.sgml : 20240408 20240408162304 ACCESSION NUMBER: 0001195734-24-000053 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240406 FILED AS OF DATE: 20240408 DATE AS OF CHANGE: 20240408 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cirulis Steven CENTRAL INDEX KEY: 0001809361 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 24829880 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] 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_1712607772.xml FORM 4 X0508 4 2024-04-06 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 2024-04-06 4 F 0 2930 10.75 D 309776 D Common Stock 2024-04-07 4 F 0 3044 10.75 D 306732 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on May 20, 2021. Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on April 7, 2023. /s/ Steven Cirulis 2024-04-08