0001683168-17-000356.txt : 20170214 0001683168-17-000356.hdr.sgml : 20170214 20170214162639 ACCESSION NUMBER: 0001683168-17-000356 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 LUDMILA CENTRAL INDEX KEY: 0001227848 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 17609370 5 1 smolyanskyl_frm5.xml OWNERSHIP DOCUMENT X0306 5 2016-12-31 0 0 0 0000814586 LIFEWAY FOODS INC LWAY 0001227848 SMOLYANSKY LUDMILA C/O LIFEWAY FOODS, INC. 6431 OAKTON STREET MORTON GROVE IL 60053 1 0 1 0 Common Stock, no par value 2016-12-30 5 G 0 3735 0 D 6754233 I See Footnote Common Stock, no par value 2016-12-30 5 G 0 7343 0 A 17343 I See Footnote The shares are held by the Ludmila Smolyansky Trust 2/1/05, of which Ludmila Smolyansky is the trustee. The shares are held by The Smolyansky Family Foundation, of which Ludmila Smolyansky is the trustee. /s/ Ludmila Smolyansky 2017-02-14