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