Potbelly Corporation
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(Name of Issuer)
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Common Stock, $0.01 par value per share
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(Title of Class of Securities)
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73754Y100
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(CUSIP Number)
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December 31, 2014
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(Date of Event Which Requires Filing of this Statement)
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CUSIP No. 73754Y100
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13G
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Page 2 of 5 Pages
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1.
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NAME OF REPORTING PERSON
Bryant L. Keil
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2.
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) o
(b) o
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3.
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SEC USE ONLY
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4.
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CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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5.
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SOLE VOTING POWER
571,269
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6.
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SHARED VOTING POWER
0
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7.
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SOLE DISPOSITIVE POWER
1,014,004
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8.
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SHARED DISPOSITIVE POWER
0
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9.
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,014,004
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10.
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
o
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11.
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
3.5%
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12.
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TYPE OF REPORTING PERSON
IN
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CUSIP No. 73754Y100
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13G
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Page 3 of 5 Pages
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Item 1(a).
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Name of Issuer:
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Potbelly Corporation
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Item 1(b).
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Address of Issuer’s Principal Executive Offices:
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222 Merchandise Mart Plaza, 23rd Floor
Chicago, IL 60654
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Item 2(a).
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Name of Person Filing:
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Bryant L. Keil
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Item 2(b).
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Address of Principal Business Office or, if none, Residence:
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c/o Potbelly Corporation
222 Merchandise Mart Plaza, 23rd Floor
Chicago, IL 60654
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Item 2(c).
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Citizenship:
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U.S.A.
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Item 2(d).
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Title of Class of Securities:
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Common Stock, $0.01 par value per share
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Item 2(e).
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CUSIP Number:
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73754Y100
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Item 3.
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If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), indicate type of person filing.
Not applicable
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Item 4.
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Ownership.
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Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
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(a)
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Amount beneficially owned: 1,014,004 shares (as of December 31, 2014)
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(b)
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Percent of class: 3.5% (based on 28,965,043 shares outstanding as of October 31, 2014)
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(c)
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Number of shares as to which such person has:
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(i) Sole power to vote or direct the vote: 571,269 shares
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(ii) Shared power to vote or direct the vote: 0
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(iii) Sole power to dispose or to direct the disposition of: 1,014,004 shares, which amount includes options to purchase 442,735 shares of common stock.
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(iv) Shared power to dispose or to direct the disposition of: 0
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CUSIP No. 73754Y100
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13G
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Page 4 of 5 Pages
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Item 5.
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Ownership of Five Percent or Less of a Class.
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If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following ý
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.
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Not applicable.
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Item 8.
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Identification and Classification of Members of the Group.
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Not applicable.
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Item 9.
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Notice of Dissolution of Group.
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Not applicable.
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Item 10.
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Certifications.
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Not applicable.
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CUSIP No. 73754Y100
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13G
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Page 5 of 5 Pages
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February 20, 2015
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Date
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/s/Bryant L. Keil | |
Signature
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