0001195734-24-000075.txt : 20240502
0001195734-24-000075.hdr.sgml : 20240502
20240502195453
ACCESSION NUMBER: 0001195734-24-000075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240430
FILED AS OF DATE: 20240502
DATE AS OF CHANGE: 20240502
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: 24910368
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_1714694082.xml
FORM 4
X0508
4
2024-04-30
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
2024-04-30
4
M
0
42016
0
A
167930
D
Common Stock
2024-04-30
4
F
0
12310
10.63
D
155620
D
Performance Stock Units
2024-04-30
4
M
0
21008
0
D
Common Stock
21008
0
D
Shares withheld for payment of tax liability upon vesting of the performance stock units granted on April 26, 2021.
Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units vest based on performance versus certain metrics as described in the award agreement. The performance stock units vested at 200% of the target award amount and were settled in shares of the Issuer's common stock pursuant to the terms of the award agreement.
/s/ Jeffrey Douglas
2024-05-02