0000899243-21-026315.txt : 20210628 0000899243-21-026315.hdr.sgml : 20210628 20210628193742 ACCESSION NUMBER: 0000899243-21-026315 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210624 FILED AS OF DATE: 20210628 DATE AS OF CHANGE: 20210628 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Jeffrey CENTRAL INDEX KEY: 0001789923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 211055187 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET, 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 2021-06-24 0 0001195734 POTBELLY CORP PBPB 0001789923 Douglas Jeffrey 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, Chief Information Officer Common Stock 2021-06-24 4 F 0 4640 8.90 D 155681 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on June 24, 2020. /s/ Jeffrey Douglas 2021-06-28