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