0001195734-17-000042.txt : 20171012 0001195734-17-000042.hdr.sgml : 20171012 20171012172421 ACCESSION NUMBER: 0001195734-17-000042 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171003 FILED AS OF DATE: 20171012 DATE AS OF CHANGE: 20171012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boehm Joseph CENTRAL INDEX KEY: 0001719477 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 171135130 MAIL ADDRESS: STREET 1: 111 NORTH CANAL, 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: 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 3 1 edgardoc.xml PRIMARY DOCUMENT X0206 3 2017-10-03 1 0001195734 POTBELLY CORP PBPB 0001719477 Boehm Joseph 111 N. CANAL SUITE 850 CHICAGO IL 60606 1 0 0 0 By: Robyn Martin For: Joseph Boehm 2017-10-12