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POTBELLY CORP — Director's Dealing 2013
Oct 11, 2013
32799_dirs_2013-10-11_6614fad7-6f8b-4c32-b461-2fc331cfdb5e.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: GALLAGHER GERALD R (Director, 10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2013-10-09 | Common Stock | C | 1000000 | — | Acquired | 1184470 | Indirect |
| 2013-10-09 | Common Stock | C | 404941 | — | Acquired | 1589411 | Indirect |
| 2013-10-09 | Common Stock | C | 187482 | — | Acquired | 1776893 | Indirect |
| 2013-10-09 | Common Stock | C | 382443 | — | Acquired | 2159336 | Indirect |
| 2013-10-09 | Common Stock | C | 358152 | — | Acquired | 2517488 | Indirect |
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) | Indirect | |
| 2013-10-09 | Series C Preferred Stock | $0 | C | 401481 | Disposed | Common Stock (404941) | Indirect | |
| 2013-10-09 | Series D Preferred Stock | $0 | C | 182595 | Disposed | Common Stock (187482) | Indirect | |
| 2013-10-09 | Series E Preferred Stock | $0 | C | 369575 | Disposed | Common Stock (382443) | Indirect | |
| 2013-10-09 | Series F Preferred Stock | $0 | C | 258152 | Disposed | Common Stock (258152) | Indirect | |
| 2013-10-09 | Series F Preferred Stock | $0 | C | 100000 | Disposed | Common Stock (100000) | Indirect |
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. is the general partner of Oak Investment and Oak IX Affiliates, L.L.C. is the general partner of each of Oak IX Fund and Oak IX Fund-A. Mr. Gallagher is a managing member of Oak Associates IX, L.L.C. and Oak IX Affiliates, L.L.C. Accordingly, Mr. Gallagher may be deemed to share power to vote and dispose of shares owned directly by such entities. Mr. Gallagher disclaims beneficial ownership of such shares except to the extent of his 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.