0001195734-23-000118.txt : 20230620 0001195734-23-000118.hdr.sgml : 20230620 20230620182140 ACCESSION NUMBER: 0001195734-23-000118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230424 FILED AS OF DATE: 20230620 DATE AS OF CHANGE: 20230620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Walsh Patrick James CENTRAL INDEX KEY: 0001917217 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 231026832 MAIL ADDRESS: STREET 1: 410 N. MICHIGAN AVENUE STREET 2: SUITE 400 CITY: CHICAGO STATE: IL ZIP: 60611 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 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_168729968730526.xml FORM 4 X0407 4 2023-04-24 0 0001195734 POTBELLY CORP PBPB 0001917217 Walsh Patrick James 111 N. CANAL SUITE 325 CHICAGO IL 60606 0 1 0 0 Chief People Officer 0 Common Stock 2023-04-24 4 A 0 14691 0 A 14691 D Performance Stock Units 2023-04-24 4 A 0 14691 0 A Common Stock 14691.0 14691 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 in equal installments on April 25, 2024, April 25, 2025 and April 25, 2026. Represents an award of performance stock units which vest based on performance versus certain metrics as described in the award agreement. /s/ Patrick James Walsh 2023-06-20