0001789923-19-000001.txt : 20191001 0001789923-19-000001.hdr.sgml : 20191001 20191001140607 ACCESSION NUMBER: 0001789923-19-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190923 FILED AS OF DATE: 20191001 DATE AS OF CHANGE: 20191001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Douglas Jeffrey CENTRAL INDEX KEY: 0001789923 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 191128590 MAIL ADDRESS: STREET 1: 111 N. CANAL STREET, 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 primary_doc.xml PRIMARY DOCUMENT X0206 3 2019-09-23 1 0001195734 POTBELLY CORP PBPB 0001789923 Douglas Jeffrey 111 N. CANAL STREET, SUITE 850 CHICAGO IL 60606 0 1 0 0 SVP, Chief Information Officer By: Xuehui Cassie Zhang For: Jeffrey Douglas 2019-10-01