SEC Form 4 · accession 0001195734-18-000016
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alan L Johnson
Officer — President and CEO
Period of report
May 14, 2018
Accepted (ET)
May 16, 2018 · 6:55 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,F1 | $12.80 | May 14, 2018 | D | 200,401 | D | — | Nov 29, 2027 | Common Stock | 200,401 | 0 | D |
| Non-Qualified Stock Option (right to buy)F2,F1 | $14.08 | May 14, 2018 | A | 200,401 | A | — | Nov 29, 2027 | Common Stock | 200,401 | 200,401 | D |
Explanation of responses
- F1The stock options will vest in equal installments on November 29, 2018; November 29, 2019; November 29, 2020; and November 29, 2021.
- F2In a Form 4 filed on December 1, 2017, the reporting person reported that on November 29, 2017 he was granted an employee stock option covering 200,401 shares of common stock and having an exercise price of $12.80 a share (the closing market price of the stock on November 29, 2017). The reporting person and the issuer have agreed to amend the options to provide that the options will have an exercise price of $14.08 a share. The amendment is reported in this Form 4 as a cancellation of the original option and the grant of a replacement option.