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