0001683168-17-000353.txt : 20170214 0001683168-17-000353.hdr.sgml : 20170214 20170214162604 ACCESSION NUMBER: 0001683168-17-000353 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170214 DATE AS OF CHANGE: 20170214 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIFEWAY FOODS INC CENTRAL INDEX KEY: 0000814586 STANDARD INDUSTRIAL CLASSIFICATION: DAIRY PRODUCTS [2020] IRS NUMBER: 363442829 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6431 W OAKTON CITY: MORTON GROVE STATE: IL ZIP: 60053 BUSINESS PHONE: 847-967-1010 MAIL ADDRESS: STREET 1: 6431 W OAKTON CITY: MORTON GROVE STATE: IL ZIP: 60053 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMOLYANSKY JULIE CENTRAL INDEX KEY: 0001227846 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 17609355 5 1 smolsndkyj_frm5.xml OWNERSHIP DOCUMENT X0306 5 2016-12-31 0 0 1 0000814586 LIFEWAY FOODS INC LWAY 0001227846 SMOLYANSKY JULIE C/O LIFEWAY FOODS, INC. 6431 OAKTON STREET MORTON GROVE IL 60053 1 1 0 0 President and CEO Common Stock, no par value 499262 D Common Stock, no par value 2016-12-30 5 G 0 1200 0 A 16920 I See Footnote Common Stock, no par value 2886 I See Footnote Common Stock, no par value 500000 I See Footnote Performance Shares 0 2016-11-17 4 J 0 L 9407 0 D 2017-08-17 2017-08-17 Common Stock 9407 0 D Held for the benefit of minor children. Held by the Reporting Person's spouse. The reporting person is the beneficial owner of 50% of Smolyansky Family Holdings, LLC and disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein. The grant of Performance Shares, which provided for vesting on August 17, 2017, was cancelled and extinguished pursuant to resolutions adopted by the Board of Directors' Compensation Committee in exchange for a cash payment in the amount of the original value of the performance share award. /s/ Julie Smolyansky 2017-02-14