SEC Form 4 · accession 0001195734-18-000014
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew J Revord
Officer — SVP, GC and Secretary
Period of report
Mar 7, 2018
Accepted (ET)
May 15, 2018 · 7:40 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 StockF1 | Mar 7, 2018 | F | 1,565 | $13.20 | D | 12,010 | D | |
| Common Stock | May 11, 2018 | M | 20,000 | $8.00 | A | 32,010 | D | |
| Common StockF2,F3 | May 11, 2018 | S | 20,000 | $12.91 | D | 12,010 | D | |
| Common Stock | holding | — | — | — | 13,775 | I | by Trust |
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)F4 | $8.00 | May 11, 2018 | M | 20,000 | D | — | May 14, 2018 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1Shares withheld to satisfy tax obligation applicable to the vesting of restricted stock units.
- F2These shares were sold in compliance with a trading plan adopted by the reporting person pursuant to Rule 10b5-1 under the Securities Exchange Act of 1934, as amended.
- F3The Common Stock sold by the Reporting Person and reported herein were sold at a range of $12.75 to $13.00 per share. The sale price reported above represents the weighted average sale price for the reported transaction and has been rounded to the nearest cent.
- F4All stock options have vested and become exercisable upon the closing of the initial public offering of Potbelly Corporation ("Potbelly").