0001683168-22-004932.txt : 20220713 0001683168-22-004932.hdr.sgml : 20220713 20220713143304 ACCESSION NUMBER: 0001683168-22-004932 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210429 FILED AS OF DATE: 20220713 DATE AS OF CHANGE: 20220713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Feldman Amy M. CENTRAL INDEX KEY: 0001758248 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 221080921 MAIL ADDRESS: STREET 1: C/O LIFEWAY FOODS STREET 2: 6431 OAKTON STREET CITY: MORTON GROVE STATE: IL ZIP: 60053 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 2021-04-29 0 0000814586 Lifeway Foods, Inc. LWAY 0001758248 Feldman Amy M. C/O LIFEWAY FOODS, INC. 6431 OAKTON STREET MORTON GROVE IL 60053 0 1 0 0 Sr. Exec VP of Sales Common Stock, no par value 2021-04-29 4 F 0 949 5.1 A 18892 D Common Stock, no par value 2022-04-20 4 A 0 4738 0 A 23630 D Common Stock, no par value 2022-04-20 4 F 0 2687 6.0 D 20943 D Common Stock, no par value 2022-04-20 4 A 0 12500 0 A 33443 D Common Stock, no par value 2022-04-20 4 F 0 1578 6.0 D 31865 D No stock was sold. In connection with the grant of 4,680 shares of restricted stock earned under the 2019 LTIP for the 2019 and 2020 performance periods, the Company withheld a total of 949 shares to satisfy a payroll tax liability incident to the issuance of vested shares. Adjusted to reflect a correction to an inadvertent overstatement of 1,631 shares of common stock in Reporting Person's grant and beneficial ownership on his previously filed Form 4. Represents a grant of restricted stock earned under the Company's 2019 Long Term Incentive Program (the "2019 LTIP) for the 2021 performance period and issued pursuant to the Company's 2015 Omnibus Incentive Plan. All issued shares of restricted stock earned in the 2021 performance period vest immediately upon issuance. No stock was sold. In connection with the issuance of 7,078 shares of stock vested under the 2019 LTIP, the Company withheld a total of 2,687 shares to satisfy a payroll tax liability incident to such issuance. Represents a time-based restricted stock award under the Company's 2021 equity incentive program pursuant to the Company's 2015 Omnibus Incentive Plan. Of such time-based restricted stock, 4,167 shares will be issued and vest immediately, 4,167 will vest on April 20, 2023 and 4,166 will vest on April 20, 2024, contingent on the Reporting Person's continued service on the vesting date. No stock was sold. In connection with the grant of 12,500 shares of restricted stock under the Company's 2021 Long Term Incentive Program, the Company withheld a total of 1,578 shares to satisfy a payroll tax liability incident to the issuance of vested shares. /s/ Amy Feldman 2022-07-13