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