SEC Form 4 · accession 0001144204-15-036133
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Maveron Equity Partners 2000, L.P.
10% Owner
Maveron General Partner III LLC
10% Owner
Maveron III Entrepreneurs Fund, L.P.
10% Owner
MEP Associates III, L.P.
10% Owner
Maveron Equity Partners III, L.P.
10% Owner
MEP 2000 Associates LLC
10% Owner
Maveron Equity Partners 2000-B, L.P.
10% Owner
Maveron General Partner 2000 LLC
10% Owner
Maveron LLC
10% Owner
Period of report
Jun 5, 2015
Accepted (ET)
Jun 8, 2015 · 8:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001195734
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Jun 5, 2015 | J | 1,250,000 | $0.00 | D | 2,060,931 | D | |
| Common StockF4 | Jun 5, 2015 | J | 8,512 | $0.00 | A | 8,512 | D | |
| Common Stock | Jun 5, 2015 | J | 8,512 | $0.00 | D | 0 | D | |
| Common StockF7 | Jun 5, 2015 | J | 3,096 | $0.00 | A | 3,096 | D | |
| Common Stock | Jun 5, 2015 | J | 3,096 | $0.00 | D | 0 | D | |
| Common StockF10 | Jun 5, 2015 | J | 10,891 | $0.00 | A | 13,569 | D | |
| Common StockF10 | Jun 5, 2015 | J | 10,891 | $0.00 | D | 2,678 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Maveron 2000, Maveron 2000-B, MEP 2000, MEP III, Maveron-Entrepreneurs' and MEP-Associates made pro rata distributions for no consideration of 1,250,000 shares of common stock of the issuer to their partners on June 5, 2015 (the "Distribution").
- F10Shares are owned directly by Maveron LLC.
- F11Maveron LLC made pro rata distributions for no consideration of 10,891 shares of common stock of the issuer to its members on June 5, 2015.
- F2Includes shares held by Maveron Equity Partners 2000, L.P. ("Maveron 2000"), Maveron Equity Partners 2000-B, L.P. ("Maveron 2000-B"), MEP 2000 Associates LLC ("MEP 2000"), Maveron Equity Partners III, L.P. ("MEP III"), Maveron III Entrepreneurs' Fund, L.P. ("Maveron-Entrepreneurs'") and MEP Associates III, L.P. ("Maveron-Associates"). Maveron General Partner 2000 LLC ("Maveron GP"), as the general partner of each of Maveron 2000 and Maveron 2000-B, may be deemed to beneficially own certain of these shares. Maveron LLC, as the manager of MEP 2000, may be deemed to beneficially own certain of these shares. Maveron General Partner III LLC ("Maveron GP III"), as the general partner of each of MEP III, Maveron-Entrepreneurs' and Maveron-Associates, may be deemed to beneficially own certain of these shares.
- F3Shares acquired by Maveron GP in connection with the Distribution of such shares to the partners of Maveron 2000 and Maveron 2000-B.
- F4Shares are owned directly by Maveron GP.
- F5Maveron GP made pro rata distributions for no consideration of 8,512 shares of common stock of the issuer to its members on June 5, 2015.
- F6Shares acquired by Maveron GP III in connection with the Distribution of such shares to the partners of MEP III and Maveron-Entrepreneurs'.
- F7Shares are owned directly by Maveron GP III.
- F8Maveron GP III made pro rata distributions for no consideration of 3,096 shares of common stock of the issuer to its members on June 5, 2015.
- F9Shares acquired by Maveron LLC in connection with the Distribution of such shares to the partners of MEP 2000 and Maveron-Associates.
Remarks
Each reporting person disclaims the existence of a "group" and disclaims beneficial ownership of any securities except to the extent of such reporting persons' pecuniary interest in such securities.