0001683168-22-004526.txt : 20220623 0001683168-22-004526.hdr.sgml : 20220623 20220623101728 ACCESSION NUMBER: 0001683168-22-004526 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: SIKAR POL CENTRAL INDEX KEY: 0001288051 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 221033781 MAIL ADDRESS: STREET 1: 3916 W MONTROSS CITY: CHICAGO STATE: IL ZIP: 60618 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 0001288051 SIKAR POL 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 34607 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 a time-based restricted stock award of which 3,802 shares will vest on July 15, 2022; and 3,802 shares will vest on July 15, 2023, in each case contingent on the Reporting Person's continued service as a Director on each applicable vesting date. /s/ Pol Sikar 2022-06-23