0001195734-18-000026.txt : 20180529 0001195734-18-000026.hdr.sgml : 20180529 20180529192028 ACCESSION NUMBER: 0001195734-18-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180524 FILED AS OF DATE: 20180529 DATE AS OF CHANGE: 20180529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boehm Joseph CENTRAL INDEX KEY: 0001719477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 18866143 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2018-05-24 0 0001195734 POTBELLY CORP PBPB 0001719477 Boehm Joseph 111 N. CANAL SUITE 850 CHICAGO IL 60606 1 0 0 0 Common Stock 2018-05-24 4 A 0 10266 0.0 A 17114 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: Joseph Boehm 2018-05-29