0001195734-24-000068.txt : 20240429 0001195734-24-000068.hdr.sgml : 20240429 20240429162038 ACCESSION NUMBER: 0001195734-24-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240426 FILED AS OF DATE: 20240429 DATE AS OF CHANGE: 20240429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dixon Adiya CENTRAL INDEX KEY: 0001838731 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 24891165 MAIL ADDRESS: STREET 1: 111 N CANAL 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_1714422000.xml FORM 4 X0508 4 2024-04-26 0 0001195734 POTBELLY CORP PBPB 0001838731 Dixon Adiya 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, CLO and Secretary 0 Common Stock 2024-04-26 4 F 0 2340 10.63 D 61453 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on April 26, 2021. /s/ Adiya Dixon 2024-04-29