0001072613-16-000973.txt : 20161117
0001072613-16-000973.hdr.sgml : 20161117
20161117142343
ACCESSION NUMBER: 0001072613-16-000973
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161107
FILED AS OF DATE: 20161117
DATE AS OF CHANGE: 20161117
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LIFEWAY FOODS INC
CENTRAL INDEX KEY: 0000814586
STANDARD INDUSTRIAL CLASSIFICATION: DAIRY PRODUCTS [2020]
IRS NUMBER: 363442829
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6431 W OAKTON
CITY: MORTON GROVE
STATE: IL
ZIP: 60053
BUSINESS PHONE: 847-967-1010
MAIL ADDRESS:
STREET 1: 6431 W OAKTON
CITY: MORTON GROVE
STATE: IL
ZIP: 60053
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hass Douglas
CENTRAL INDEX KEY: 0001690109
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-17363
FILM NUMBER: 162004700
MAIL ADDRESS:
STREET 1: 6431 W. OAKTON STREET
CITY: MORTON GROVE
STATE: IL
ZIP: 60053
3
1
hass_form3.xml
OWNERSHIP DOCUMENT
X0206
3
2016-11-07
0
0000814586
LIFEWAY FOODS INC
LWAY
0001690109
Hass Douglas
C/O LIFEWAY FOODS, INC.
6431 W. OAKTON STREET
MORTON GROVE
IL
60053
0
1
0
0
Gen Counsel & Asst Corp Sec.
Common Stock
1237
D
Stock option (Right to buy)
9.57
2026-07-01
Common Stock
150
D
Of such options, 50 will vest on July 1, 2017, 50 will vest on July 1, 2018, and 50 will vest on July 1, 2019.
/s/ Douglas A. Hass
2016-11-17