SEC Form 4 · accession 0001195734-17-000008
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher Carlson
Officer — VP, Controller
Period of report
Mar 7, 2017
Accepted (ET)
Apr 21, 2017 · 5:45 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F2 | $12.90 | Mar 7, 2017 | A | 987 | A | — | Mar 7, 2027 | Common Stock | 987 | 987 | D |
Explanation of responses
- F1Option award pursuant to the Potbelly Corporation 2013 Long-Term Incentive Plan.
- F2The option vests in four equal annual installments beginning on the first anniversary of the Transaction Date.