0001809361-20-000004.txt : 20200626 0001809361-20-000004.hdr.sgml : 20200626 20200626123227 ACCESSION NUMBER: 0001809361-20-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200624 FILED AS OF DATE: 20200626 DATE AS OF CHANGE: 20200626 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cirulis Steven CENTRAL INDEX KEY: 0001809361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 20992388 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] IRS NUMBER: 364466837 FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3129510600 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2020-06-24 0 0001195734 POTBELLY CORP PBPB 0001809361 Cirulis Steven 111 N. CANAL ST. SUITE 850 CHICAGO IL 60606 0 1 0 0 SVP, Chief Financial Officer Performance Stock Units 2020-06-24 4 A 0 115385 0 A 2025-05-15 Common Stock 115385 115385 D Each performance stock unit represents a contingent right to receive one share of Potbelly Corporation common stock. The performance stock units vest, if at all, in four equal installments upon Potbelly Corporation's common stock achieving four specified market price targets. Awarded pursuant to the Potbelly Corporation 2019 Long-Term Incentive Plan, as amended and restated. By: Xuehui Cassie Zhang For: Steven Cirulis 2020-06-26