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POTBELLY CORP — Director's Dealing 2013
Oct 11, 2013
32799_dirs_2013-10-11_9ba7a55e-19f0-4b06-a2f0-de24eb75fcb5.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: POTBELLY CORP (PBPB)
CIK: 0001195734
Period of Report: 2013-10-09
Reporting Person: OAK INVESTMENT PARTNERS IX L P (10% Owner)
Reporting Person: OAK IX AFFILIATES FUND LP (10% Owner)
Reporting Person: OAK IX AFFILIATES FUND A LP (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2013-10-09 | Common Stock | C | 1000000 | — | Acquired | 1184470 | Direct |
| 2013-10-09 | Common Stock | C | 404941 | — | Acquired | 1589411 | Direct |
| 2013-10-09 | Common Stock | C | 187482 | — | Acquired | 1776893 | Direct |
| 2013-10-09 | Common Stock | C | 382443 | — | Acquired | 2159336 | Direct |
| 2013-10-09 | Common Stock | C | 358152 | — | Acquired | 2517488 | Direct |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2013-10-09 | Series B Preferred Stock | $0 | C | 1000000 | Disposed | Common Stock (1000000) | Direct | |
| 2013-10-09 | Series C Preferred Stock | $0 | C | 401481 | Disposed | Common Stock (404941) | Direct | |
| 2013-10-09 | Series D Preferred Stock | $0 | C | 182595 | Disposed | Common Stock (187482) | Direct | |
| 2013-10-09 | Series E Preferred Stock | $0 | C | 369575 | Disposed | Common Stock (382443) | Direct | |
| 2013-10-09 | Series F Preferred Stock | $0 | C | 258152 | Disposed | Common Stock (258152) | Direct | |
| 2013-10-09 | Series F Preferred Stock | $0 | C | 100000 | Disposed | Common Stock (100000) | Direct |
Footnotes
F1: The Series B Preferred Stock automatically converted into Potbelly Corporation ("Potbelly") common stock on a 1-to-1 basis upon the closing of Potbelly's initial public offering and did not have an expiration date.
F2: Includes shares held by Oak Investment Partners IX, Limited Partnership ("Oak Investment"), Oak IX Affiliates Fund, Limited Partnership ("Oak IX Fund") and Oak IX Affiliates Fund-A, Limited Partnership ("Oak IX Fund-A"). Oak Associates IX, L.L.C., as the general partner of Oak Investment, and Oak IX Affiliates, L.L.C., as the general partner of each of Oak IX Fund and Oak IX Fund-A, may be deemed to beneficially own these shares. Each of Oak Associates IX, L.L.C. and Oak IX Affiliates, L.L.C. disclaims beneficial ownership of the shares reported herein except to the extent of its pecuniary interest therein.
F3: The Series C Preferred Stock automatically converted into Potbelly common stock on a 1-to-1.0086 basis upon the closing of Potbelly's initial public offering and did not have an expiration date.
F4: The Series D Preferred Stock automatically converted into Potbelly common stock on a 1-to-1.0268 basis upon the closing of Potbelly's initial public offering and did not have an expiration date.
F5: The Series E Preferred Stock automatically converted into Potbelly common stock on a 1-to-1.0348 basis upon the closing of Potbelly's initial public offering and did not have an expiration date.
F6: The Series F Preferred Stock automatically converted into Potbelly common stock on a 1-to-1 basis upon the closing of Potbelly's initial public offering and did not have an expiration date.