0001683168-22-004524.txt : 20220623 0001683168-22-004524.hdr.sgml : 20220623 20220623101619 ACCESSION NUMBER: 0001683168-22-004524 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210812 FILED AS OF DATE: 20220623 DATE AS OF CHANGE: 20220623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVY JODY CENTRAL INDEX KEY: 0001804749 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 221033776 MAIL ADDRESS: STREET 1: 6431 OAKTON STREET STREET 2: C/O LIFEWAY FOODS, INC. 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 2021-08-12 0 0000814586 Lifeway Foods, Inc. LWAY 0001804749 LEVY JODY C/O LIFEWAY FOODS, INC. 6431 OAKTON STREET MORTON GROVE IL 60053 1 0 0 0 Common Stock, no par value 2021-08-12 4 A 0 5272 0 A 20740 D Represents a time-based restricted stock award. Of such time-based restricted stock, 1,757 of the shares will vest on August 12, 2022; 1,757 will vest on August 12, 2023; and 1,758 will vest on August 12, 2024, contingent on the Reporting Person's continued service as a Director on each applicable vesting date. Includes time-based restricted stock awards of which 5,156 shares will vest on July 15, 2022; and 5,156 shares will vest on July 15, 2023 contingent on the Reporting Person's continued service as a Director on each applicable vesting date. /s/ Jody Levy 2022-06-23