0001683168-21-002237.txt : 20210526
0001683168-21-002237.hdr.sgml : 20210526
20210526104110
ACCESSION NUMBER: 0001683168-21-002237
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210429
FILED AS OF DATE: 20210526
DATE AS OF CHANGE: 20210526
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SMOLYANSKY EDWARD
CENTRAL INDEX KEY: 0001227847
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-17363
FILM NUMBER: 21963528
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
0001227847
SMOLYANSKY EDWARD
C/O LIFEWAY FOODS, INC.
6431 OAKTON STREET
MORTON GROVE
IL
60053
1
1
1
0
Chief Operating Officer
Common Stock, no par value
2021-04-29
4
A
0
31559
0
A
1527612
D
Common Stock, no par value
2021-05-21
4
S
0
6000
5.29
D
1521612
D
Common Stock, no par value
2021-05-24
4
S
0
4000
5.67
D
1517612
D
Common Stock, no par value
500000
I
See Footnote
Represents a time-based restricted stock award pursuant to the Company's 2015 Omnibus Incentive Plan. Of such time-based restricted stock, 13,739 shares vest immediately and the remainder will vest on April 29, 2022, contingent on the Reporting Person's continued service on the vesting date. The issuance of such shares is dependent on receipt by the Company of consent and agreement by DanoneWave PBC ("Danone") that such issuance will not constitute a breach of violation of or constitute "New Securities" under that certain Stockholders' Agreement, dated as of October 1, 1999, by and among the Corporation, Danone, Michael Smolyansky and the other stockholders of the Corporation listed therein, as amended by that certain letter agreement dated September 24, 1999 and as further amended from time to time.
Held by Smolyansky Holding LLC of which the reporting person is the beneficial owner of 50%. The reporting person disclaims beneficial ownership of such shares except to the extent of any pecuniary interest therein.
/s/ Edward Smolyansky
2021-05-26