0001683168-17-000355.txt : 20170214
0001683168-17-000355.hdr.sgml : 20170214
20170214164110
ACCESSION NUMBER: 0001683168-17-000355
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170214
DATE AS OF CHANGE: 20170214
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: SMOLYANSKY EDWARD
CENTRAL INDEX KEY: 0001227847
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-17363
FILM NUMBER: 17609391
5
1
smolyanskye_frm5.xml
OWNERSHIP DOCUMENT
X0306
5
2016-12-31
0
0
1
0000814586
LIFEWAY FOODS INC
LWAY
0001227847
SMOLYANSKY EDWARD
C/O LIFEWAY FOODS, INC.
6431 OAKTON STREET
MORTON GROVE
IL
60053
0
1
0
0
COO, Treasurer, and Secretary
Common Stock, no par value
2016-12-30
5
G
0
1200
0
A
262715
D
Common Stock, no par value
2016-12-30
5
G
0
6008
0
D
256707
D
Common Stock, no par value
500000
I
See Footnote
Performance Shares
0
2016-11-17
4
J
0
L
9407
0
D
2017-08-17
2017-08-17
Common Stock
9407
0
D
The reporting person is the beneficial owner of 50% of Smolyansky Family Holdings LLC and disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
The grant of Performance Shares, which provided for vesting on August 17, 2017, was cancelled, terminated and extinguished pursuant to resolutions adopted by the Company's Compensation Committee in exchange for a cash payment in the amount of the original value of the award.
/s/ Edward Smolyansky
2017-02-14