0001195734-22-000065.txt : 20220523
0001195734-22-000065.hdr.sgml : 20220523
20220523173515
ACCESSION NUMBER: 0001195734-22-000065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220519
FILED AS OF DATE: 20220523
DATE AS OF CHANGE: 20220523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PEARSON DAVID T.
CENTRAL INDEX KEY: 0001575492
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 22952998
MAIL ADDRESS:
STREET 1: C/O VONAGE HOLDINGS CORP
STREET 2: 23 MAIN STREET
CITY: HOLMDEL
STATE: NJ
ZIP: 07733
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_165334169804870.xml
FORM 4
X0306
4
2022-05-19
0
0001195734
POTBELLY CORP
PBPB
0001575492
PEARSON DAVID T.
111 N. CANAL
SUITE 325
CHICAGO
IL
60606
1
0
0
0
Common Stock
2022-05-19
4
A
0
16753
0
A
16753
D
Represents an award of restricted stock units. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. These restricted stock units vest on May 19, 2023.
/s/ Adiya Dixon as Attorney-in-Fact
2022-05-23