0000899243-21-020474.txt : 20210524
0000899243-21-020474.hdr.sgml : 20210524
20210524210835
ACCESSION NUMBER: 0000899243-21-020474
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210520
FILED AS OF DATE: 20210524
DATE AS OF CHANGE: 20210524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Boehm Joseph
CENTRAL INDEX KEY: 0001719477
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 21957092
MAIL ADDRESS:
STREET 1: 111 NORTH CANAL, 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 325
CITY: CHICAGO
STATE: IL
ZIP: 60606
BUSINESS PHONE: 3129510600
MAIL ADDRESS:
STREET 1: 111 N. CANAL
STREET 2: SUITE 325
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-05-20
0
0001195734
POTBELLY CORP
PBPB
0001719477
Boehm Joseph
111 N. CANAL, SUITE 325
CHICAGO
IL
60606
1
0
0
0
Common Stock
2021-05-20
4
A
0
34493
0.00
A
125469
D
Represents an award of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. These restricted stock units vest on May 20, 2022.
/s/ Joseph Boehm
2021-05-24