0001683168-21-001741.txt : 20210504
0001683168-21-001741.hdr.sgml : 20210504
20210504181437
ACCESSION NUMBER: 0001683168-21-001741
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210429
FILED AS OF DATE: 20210504
DATE AS OF CHANGE: 20210504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Feldman Amy M.
CENTRAL INDEX KEY: 0001758248
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-17363
FILM NUMBER: 21890302
MAIL ADDRESS:
STREET 1: C/O LIFEWAY FOODS
STREET 2: 6431 OAKTON STREET
CITY: MORTON GROVE
STATE: IL
ZIP: 60053
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
FORMER COMPANY:
FORMER CONFORMED NAME: LIFEWAY FOODS INC
DATE OF NAME CHANGE: 19920703
4
1
ownership.xml
X0306
4
2021-04-29
0
0000814586
Lifeway Foods, Inc.
LWAY
0001758248
Feldman Amy M.
C/O LIFEWAY FOODS, INC.
6431 OAKTON STREET
MORTON GROVE
IL
60053
0
1
0
0
Sr. Exec VP of Sales
Common Stock, no par value
2021-04-29
4
A
0
6311
0
A
21472
D
Represents a time-based restricted stock award pursuant to the Company's 2015 Omnibus Incentive Plan. Of such time-based restricted stock, 2,746 shares vest immediately and the remainder will vest on April 29, 2022, contingent on the Reporting Person's continued service on the vesting date.
/s/ Amy Feldman
2021-05-04