0000899243-21-046989.txt : 20211206 0000899243-21-046989.hdr.sgml : 20211206 20211206184306 ACCESSION NUMBER: 0000899243-21-046989 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211202 FILED AS OF DATE: 20211206 DATE AS OF CHANGE: 20211206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Near David CENTRAL INDEX KEY: 0001360894 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 211474269 MAIL ADDRESS: STREET 1: 111 N CANAL ST STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60601 FORMER NAME: FORMER CONFORMED NAME: Near David J DATE OF NAME CHANGE: 20060427 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 2021-12-02 0 0001195734 POTBELLY CORP PBPB 0001360894 Near David 111 N. CANAL, SUITE 325 CHICAGO IL 60606 1 0 0 0 Common Stock 2021-12-02 4 P 0 7462 5.55 A 75183 D Represents the weighted average price of the shares purchased. The prices of the shares purchased pursuant to the transaction ranged from $5.34 to $5.70 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares purchased at each separate price. /s/ David Near 2021-12-06