0001683168-22-004934.txt : 20220713 0001683168-22-004934.hdr.sgml : 20220713 20220713144744 ACCESSION NUMBER: 0001683168-22-004934 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220420 FILED AS OF DATE: 20220713 DATE AS OF CHANGE: 20220713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMOLYANSKY JULIE CENTRAL INDEX KEY: 0001227846 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17363 FILM NUMBER: 221080947 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 2022-04-20 0 0000814586 Lifeway Foods, Inc. LWAY 0001227846 SMOLYANSKY JULIE C/O LIFEWAY FOODS, INC. 6431 OAKTON STREET MORTON GROVE IL 60053 1 1 1 0 President and CEO Common Stock, no par value 2022-04-20 4 A 0 23694 0 A 2026748 D Common Stock, no par value 2022-04-20 4 A 0 125000 0 A 2151748 D Common Stock, no par value 22216 I Footnote Common Stock, no par value 4636 I Footnote Common Stock, no par value 500000 I Footnote Represents a grant of restricted stock earned under the Company's 2019 Long Term Incentive Program for the 2021 performance period and issued pursuant to the Company's 2015 Omnibus Incentive Plan. All such shares vest immediately upon issuance. 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 (the "Stockholders' Agreement"). Adjusted to reflect a correction to an inadvertent overstatement of 4,07748,154 shares of common stock in Reporting Person's grant and beneficial ownership on his previously filed Form 4. Represents a grant of time-based restricted stock earned under the Company's 2021 Long Term Incentive Program for the 2021 performance period and issued pursuant to the Company's 2015 Omnibus Incentive Plan. Such shares 41,667 vest immediately upon issuance vest immediately, 41,667 vest on April 20, 2023 and 541,666 vest on April 20, 2024 and will be issued upon vesting, contingent on the Reporting Person's continued service on the vesting date and receipt by the Company of consent and agreement by Danone that such issuance will not constitute a breach of violation of or constitute "New Securities" under the Stockholders' Agreement. Held for the benefit of minor children. Held by the Reporting Person's spouse. 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/ Julie Smolyansky 2022-07-13