0001195734-22-000052.txt : 20220506
0001195734-22-000052.hdr.sgml : 20220506
20220505181601
ACCESSION NUMBER: 0001195734-22-000052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220504
FILED AS OF DATE: 20220505
DATE AS OF CHANGE: 20220505
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dixon Adiya
CENTRAL INDEX KEY: 0001838731
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 22898154
MAIL ADDRESS:
STREET 1: 111 N CANAL
STREET 2: 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: 1230
BUSINESS ADDRESS:
STREET 1: 111 N. CANAL
STREET 2: SUITE 325
CITY: CHICAGO
STATE: IL
ZIP: 60606
BUSINESS PHONE: 3129510600
MAIL ADDRESS:
STREET 1: 111 N. CANAL
STREET 2: SUITE 325
CITY: CHICAGO
STATE: IL
ZIP: 60606
4
1
wf-form4_165178894626834.xml
FORM 4
X0306
4
2022-05-04
0
0001195734
POTBELLY CORP
PBPB
0001838731
Dixon Adiya
111 N. CANAL
SUITE 325
CHICAGO
IL
60606
0
1
0
0
SVP, CLO and Secretary
Common Stock
2022-05-04
4
F
0
2264
6.51
D
45812
D
Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on April 26, 2021.
/s/ Adiya Dixon
2022-05-05