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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.