<SEC-DOCUMENT>0001144204-15-036133-index.html : 20150608
<SEC-HEADER>0001144204-15-036133.hdr.sgml : 20150608
<ACCEPTANCE-DATETIME>20150608201731
ACCESSION NUMBER:		0001144204-15-036133
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20150605
FILED AS OF DATE:		20150608
DATE AS OF CHANGE:		20150608

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			POTBELLY CORP
		CENTRAL INDEX KEY:			0001195734
		STANDARD INDUSTRIAL CLASSIFICATION:	RETAIL-EATING PLACES [5812]
		IRS NUMBER:				364466837
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		111 N. CANAL
		STREET 2:		SUITE 850
		CITY:			CHICAGO
		STATE:			IL
		ZIP:			60606
		BUSINESS PHONE:		3129510600

	MAIL ADDRESS:	
		STREET 1:		111 N. CANAL
		STREET 2:		SUITE 850
		CITY:			CHICAGO
		STATE:			IL
		ZIP:			60606

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron General Partner III LLC
		CENTRAL INDEX KEY:			0001587645
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919621

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			MEP Associates III, L.P.
		CENTRAL INDEX KEY:			0001587647
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919622

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron General Partner 2000 LLC
		CENTRAL INDEX KEY:			0001587783
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919624

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron III Entrepreneurs Fund, L.P.
		CENTRAL INDEX KEY:			0001587646
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919625

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			MEP 2000 Associates LLC
		CENTRAL INDEX KEY:			0001587781
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919627

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron Equity Partners 2000-B, L.P.
		CENTRAL INDEX KEY:			0001587782
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919628

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron LLC
		CENTRAL INDEX KEY:			0001587953
		STATE OF INCORPORATION:			WA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919623

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron Equity Partners 2000, L.P.
		CENTRAL INDEX KEY:			0001391085
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919629

	BUSINESS ADDRESS:	
		STREET 1:		505 FIFTH AVENUE SOUTH
		STREET 2:		SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		206.288.1714

	MAIL ADDRESS:	
		STREET 1:		505 FIFTH AVENUE SOUTH
		STREET 2:		SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Maveron Equity Partners III, L.P.
		CENTRAL INDEX KEY:			0001587648
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-36104
		FILM NUMBER:		15919626

	BUSINESS ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
		BUSINESS PHONE:		(206)288-1700

	MAIL ADDRESS:	
		STREET 1:		411 1ST AVENUE SOUTH, SUITE 600
		CITY:			SEATTLE
		STATE:			WA
		ZIP:			98104
</SEC-HEADER>
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