0001209191-21-000173.txt : 20210104
0001209191-21-000173.hdr.sgml : 20210104
20210104144636
ACCESSION NUMBER: 0001209191-21-000173
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201222
FILED AS OF DATE: 20210104
DATE AS OF CHANGE: 20210104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dixon Adiya
CENTRAL INDEX KEY: 0001838731
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36104
FILM NUMBER: 21501369
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 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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2020-12-22
1
0001195734
POTBELLY CORP
PBPB
0001838731
Dixon Adiya
111 N CANAL
SUITE 850
CHICAGO
IL
60606
0
1
0
0
SVP, CLO and Secretary
/s/ Adiya Dixon
2021-01-04