0001195734-15-000029.txt : 20150522 0001195734-15-000029.hdr.sgml : 20150522 20150522122057 ACCESSION NUMBER: 0001195734-15-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150522 DATE AS OF CHANGE: 20150522 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: 1231 BUSINESS ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3129510600 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KEIL BRYANT L CENTRAL INDEX KEY: 0001587656 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 15885494 MAIL ADDRESS: STREET 1: C/O POTBELLY CORPORATION STREET 2: 222 MERCHANDISE MART PLAZA, 23RD FLOOR CITY: CHICAGO STATE: IL ZIP: 60654 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2015-05-20 0 0001195734 POTBELLY CORP PBPB 0001587656 KEIL BRYANT L 111 N. CANAL SUITE 850 CHICAGO IL 60606 1 0 1 0 Common Stock 2015-05-20 4 S 0 5000.0 13.98 D 447672 D The shares of Common Stock sold by the Reporting Person and reported herein were sold at prices that ranged from $13.96 to $14.00 per share. The sale price reported above represents the weighted average sale price for the reported transaction and has been rounded to the nearest cent. Upon request of the SEC staff, the Issuer or a securityholder, the Reporting Person undertakes to provide information regarding the number of shares sold at each separate price. By: Robyn Martin For: Bryant Keil 2015-05-22