0001195734-16-000096.txt : 20160517
0001195734-16-000096.hdr.sgml : 20160517
20160517154512
ACCESSION NUMBER: 0001195734-16-000096
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160512
FILED AS OF DATE: 20160517
DATE AS OF CHANGE: 20160517
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: GOTTSCHALK MARLA C
CENTRAL INDEX KEY: 0001241912
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 161657414
MAIL ADDRESS:
STREET 1: C/O KRAFT FOODS INC
STREET 2: 800 WESTCHESTER AVE
CITY: RYE
STATE: NY
ZIP: 10573
4
1
edgardoc.xml
PRIMARY DOCUMENT
X0306
4
2016-05-12
0
0001195734
POTBELLY CORP
PBPB
0001241912
GOTTSCHALK MARLA C
111 N. CANAL
SUITE 850
CHICAGO
IL
60606
1
0
0
0
Common Stock
2016-05-12
4
A
0
8289.0
0.0
A
78422
D
Common Stock
2016-05-12
4
A
0
565.0
0.0
A
78987
D
The common stock is a restricted stock unit which represents a right to receive one share of common stock for each restricted stock unit. Restricted stock units vest 50% on the first anniversary of the transaction date and 50% on the second anniversary of the transaction date.
By: Robyn Martin For: Marla Gottschalk
2016-05-17