0001195734-23-000041.txt : 20230410 0001195734-23-000041.hdr.sgml : 20230410 20230410160946 ACCESSION NUMBER: 0001195734-23-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230406 FILED AS OF DATE: 20230410 DATE AS OF CHANGE: 20230410 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cirulis Steven CENTRAL INDEX KEY: 0001809361 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 23811239 MAIL ADDRESS: STREET 1: 111 N. CANAL ST. 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: 1225 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_168115737454817.xml FORM 4 X0407 4 2023-04-06 0 0001195734 POTBELLY CORP PBPB 0001809361 Cirulis Steven 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 SVP, Chief Financial Officer 0 Common Stock 2023-04-06 4 F 0 2930 8.02 D 298180 D Common Stock 2023-04-06 4 F 0 2930 8.02 D 295250 D Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on May 18, 2020. Shares withheld for payment of tax liability upon vesting of the restricted stock units granted on May 20, 2021. /s/ Steven Cirulis 2023-04-10