SEC Form 4/A · accession 0001209191-15-030905
POTBELLY CORP · PBPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Joshua Boyer
Officer — Controller
Period of report
Mar 5, 2014
Accepted (ET)
Apr 1, 2015 · 6:04 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 Acquire)F2,F3 | $12.98 | Mar 5, 2015 | A | 5,000 | A | — | Mar 5, 2025 | Common Stock | 5,000 | 5,000 | D |
Explanation of responses
- F1Option award pursuant to the Potbelly Corporation 2013 Long-Term Incentive Plan.
- F2In the original Form 4 the number of options was reported incorrectly due to administrative error. This amended Form 4 is being filed to correct the error.
- F3The 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.