SEC Form 4 · accession 0001181431-15-004334
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew J Revord
Officer — Chief Legal Officer
Period of report
Mar 5, 2015
Accepted (ET)
Mar 9, 2015 · 2:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001195734
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (right to buy)F2 | $12.98 | Mar 5, 2015 | A | 75,000 | A | — | Mar 5, 2025 | Common Stock | 75,000 | 75,000 | D |
Explanation of responses
- F1Option award pursuant to the Potbelly Corporation 2013 Long-Term Incentive Plan.
- F2The stock options will vest and become exercisable as follows: 25% on March 5, 2016, 25% on March 5, 2017, 25% on March 5, 2018, and 25% on March 5, 2019.