0001683168-21-004221.txt : 20210910
0001683168-21-004221.hdr.sgml : 20210910
20210910160640
ACCESSION NUMBER: 0001683168-21-004221
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210910
FILED AS OF DATE: 20210910
DATE AS OF CHANGE: 20210910
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMOLYANSKY JULIE
CENTRAL INDEX KEY: 0001227846
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-17363
FILM NUMBER: 211247150
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
FORMER COMPANY:
FORMER CONFORMED NAME: LIFEWAY FOODS INC
DATE OF NAME CHANGE: 19920703
4
1
ownership.xml
X0306
4
2021-09-10
0
0000814586
Lifeway Foods, Inc.
LWAY
0001227846
SMOLYANSKY JULIE
C/O LIFEWAY FOODS, INC.
6431 OAKTON STREET
MORTON GROVE
IL
60053
1
1
1
0
President and CEO
Common Stock, no par value
2021-09-10
4
P
0
2000
5.20
A
2011208
D
Common Stock, no par value
22216
I
Footnote
Common Stock, no par value
4636
I
Footnote
Common Stock, no par value
500000
I
Footnote
Held for the benefit of minor children.
Held by the Reporting Person's spouse.
Held by Smolyansky Holding LLC of which the reporting person is the beneficial owner of 50%. The reporting person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
/s/ Julie Smolyansky
2021-09-10