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