<SEC-DOCUMENT>0001838731-25-000004-index.html : 20251027 <SEC-HEADER>0001838731-25-000004.hdr.sgml : 20251027 <ACCEPTANCE-DATETIME>20251027210031 ACCESSION NUMBER: 0001838731-25-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20251023 FILED AS OF DATE: 20251027 DATE AS OF CHANGE: 20251027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dixon Adiya CENTRAL INDEX KEY: 0001838731 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36104 FILM NUMBER: 251421113 MAIL ADDRESS: STREET 1: 111 N CANAL STREET 2: SUITE 850 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: POTBELLY CORP CENTRAL INDEX KEY: 0001195734 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] ORGANIZATION NAME: 07 Trade & Services EIN: 364466837 FISCAL YEAR END: 1228 BUSINESS ADDRESS: STREET 1: 680 NORTH LAKE SHORE DR. STREET 2: SUITE 110 #100 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 3129510600 MAIL ADDRESS: STREET 1: 680 NORTH LAKE SHORE DR. STREET 2: SUITE 110 #100 CITY: CHICAGO STATE: IL ZIP: 60611 </SEC-HEADER> <DOCUMENT> <TYPE>4 <SEQUENCE>1 <FILENAME>wk-form4_1761613228.xml <DESCRIPTION>FORM 4 <TEXT> Document 1 - file: wk-form4_1761613228.html
Document 1 - RAW XML: wk-form4_1761613228.xml
</DOCUMENT> </SEC-DOCUMENT>