SEC Form 4 · accession 0001181431-15-003421
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Vann A Avedisian
Director
Period of report
Feb 25, 2015
Accepted (ET)
Feb 26, 2015 · 12:10 pm EST
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 StockF1,F2 | Feb 25, 2015 | J | 175,095 | $0.00 | D | 803,816 | I | See Footnote |
| Common StockF1 | Feb 25, 2015 | J | 54,197 | $0.00 | A | 223,932 | I | by: Vann A. Avedisian Trust |
| Common StockF1 | Feb 25, 2015 | J | 116 | $0.00 | A | 464 | I | by: Daughter |
| Common StockF1 | Feb 25, 2015 | J | 116 | $0.00 | A | 464 | I | by: Son |
| Common Stock | holding | — | — | — | 2,558 | D | ||
| Common StockF3 | holding | — | — | — | 3,456 | I | Armen G. Avedisian Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On February 25, 2015, Oxford BlackPoint Venture Partners VII, LLC ("Oxford BlackPoint") distributed 175,095 of the shares held by it to its members without the payment of any consideration, including to minor children of and a trust controlled by the reporting person as reflected on this Form 4.
- F2Includes 700,569 shares held by Oxford Blackpoint and 103,247 shares held by Concorde Holdings IX, LLC ("Concorde"). Oxford Blackpoint is an investment fund managed by Oxford Capital Partners, Inc. ("Oxford Capital"). Mr. Avedisian is co-owner of Oxford Capital and co-owner of Concorde. Accordingly, Mr. Avedisian may be deemed to share power to vote and dispose of shares owned directly by such entities. Mr. Avedisian disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
- F3Mr. Avedisian is the trusteee of the Armen G. Avedisian Trust ( the "AGA Trust"). Accordingly, Mr. Avedisian may be deemed to have the power to vote and dispose of shares owned directly by the AGA Trust. Mr. Avedisian disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.