<SEC-DOCUMENT>0001144204-15-036133.txt : 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
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                <sharesOwnedFollowingTransaction>
                    <value>13569</value>
                    <footnoteId id="F10"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2015-06-05</value>
            </transactionDate>
            <deemedExecutionDate></deemedExecutionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>J</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
                <footnoteId id="F11"/>
            </transactionCoding>
            <transactionTimeliness></transactionTimeliness>
            <transactionAmounts>
                <transactionShares>
                    <value>10891</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>2678</value>
                    <footnoteId id="F10"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">Maveron 2000, Maveron 2000-B, MEP 2000, MEP III, Maveron-Entrepreneurs' and MEP-Associates made pro rata distributions for no consideration of 1,250,000 shares of common stock of the issuer to their partners on June 5, 2015 (the &quot;Distribution&quot;).</footnote>
        <footnote id="F2">Includes shares held by Maveron Equity Partners 2000, L.P. (&quot;Maveron 2000&quot;), Maveron Equity Partners 2000-B, L.P. (&quot;Maveron 2000-B&quot;), MEP 2000 Associates LLC (&quot;MEP 2000&quot;), Maveron Equity Partners III, L.P. (&quot;MEP III&quot;), Maveron III Entrepreneurs' Fund, L.P. (&quot;Maveron-Entrepreneurs'&quot;) and MEP Associates III, L.P. (&quot;Maveron-Associates&quot;). Maveron General Partner 2000 LLC (&quot;Maveron GP&quot;), as the general partner of each of Maveron 2000 and Maveron 2000-B, may be deemed to beneficially own certain of these shares. Maveron LLC, as the manager of MEP 2000, may be deemed to beneficially own certain of these shares. Maveron General Partner III LLC (&quot;Maveron GP III&quot;), as the general partner of each of MEP III, Maveron-Entrepreneurs' and Maveron-Associates, may be deemed to beneficially own certain of these shares.</footnote>
        <footnote id="F3">Shares acquired by Maveron GP in connection with the Distribution of such shares to the partners of Maveron 2000 and Maveron 2000-B.</footnote>
        <footnote id="F4">Shares are owned directly by Maveron GP.</footnote>
        <footnote id="F5">Maveron GP made pro rata distributions for no consideration of 8,512 shares of common stock of the issuer to its members on June 5, 2015.</footnote>
        <footnote id="F6">Shares acquired by Maveron GP III in connection with the Distribution of such shares to the partners of MEP III and Maveron-Entrepreneurs'.</footnote>
        <footnote id="F7">Shares are owned directly by Maveron GP III.</footnote>
        <footnote id="F8">Maveron GP III made pro rata distributions for no consideration of 3,096 shares of common stock of the issuer to its members on June 5, 2015.</footnote>
        <footnote id="F9">Shares acquired by Maveron LLC in connection with the Distribution of such shares to the partners of MEP 2000 and Maveron-Associates.</footnote>
        <footnote id="F10">Shares are owned directly by Maveron LLC.</footnote>
        <footnote id="F11">Maveron LLC made pro rata distributions for no consideration of 10,891 shares of common stock of the issuer to its members on June 5, 2015.</footnote>
    </footnotes>

    <remarks>Each reporting person disclaims the existence of a &quot;group&quot; and disclaims beneficial ownership of any securities except to the extent of such reporting persons' pecuniary interest in such securities.</remarks>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the GP of Maveron Equity Partners 2000, L.P.</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the GP of Maveron Equity Partners 2000-B, L.P.</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the manager of MEP 2000 Associates LLC</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the GP of Maveron Equity Partners III, L.P.</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the GP of Maveron III Entrepreneurs' Fund, L.P.</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of Maveron General Partner 2000, LLC</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of Maveron, LLC</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of the GP of MEP Associates III, L.P.</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Pete McCormick, as managing member of Maveron General Partner III LLC</signatureName>
        <signatureDate>2015-06-08</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
