SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

Schedule 13G

 

Under the Securities Exchange Act of 1934

(Amendment No. 1)*

 

Potbelly Corporation
(Name of Issuer)

 

Common Stock Par Value $0.01
(Title of Class of Securities)

 

73754Y100
(CUSIP Number)

 

December 31, 2014
(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨          Rule 13d-1(b)

 

¨          Rule 13d-1(c)

 

x         Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

(Continued on following pages)

 

Page 1 of 20 Pages

Exhibit Index Contained on Page 18

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 2 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron Equity Partners 2000, L.P. (“Maveron 2000”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

 5 SOLE VOTING POWER
2,046,400 shares, except that Maveron General Partner 2000 LLC (“Maveron GP”), the general partner Maveron 2000, may be deemed to have sole power to vote these shares, and Dan Levitan (“Levitan”), the managing member of Maveron GP, may be deemed to have sole power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
2,046,400 shares, except that Maveron GP, the general partner of Maveron 2000, may be deemed to have sole power to dispose of these shares, and Levitan, the managing member of Maveron GP, may be deemed to have sole power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

2,046,400        

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

7.1%1             

12

TYPE OF REPORTING PERSON*

PN                 

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 3 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron Equity Partners 2000-B, L.P. (“Maveron 2000-B”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
63,948 shares, except that Maveron GP, the general partner Maveron 2000-B, may be deemed to have sole power to vote these shares, and Levitan, the managing member of Maveron GP, may be deemed to have sole power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
63,948 shares, except that Maveron GP, the general partner of Maveron 2000-B, may be deemed to have sole power to dispose of these shares, and Levitan, the managing member of Maveron GP, may be deemed to have sole power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

63,948             

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

0.2%1             

12

TYPE OF REPORTING PERSON*

PN                 

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 4 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron General Partner 2000 LLC

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
2,110,348 shares, of which 2,046,400 shares are directly owned by Maveron 2000 and 63,948 are directly owned by Maveron 2000-B.   Maveron GP, the general partner of Maveron 2000 and Maveron 2000-B, may be deemed to have sole power to vote these shares, and Levitan, the managing member of Maveron GP, may be deemed to have sole power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
2,110,348 shares, of which 2,046,400 shares are directly owned by Maveron 2000 and 63,948 are directly owned by Maveron 2000-B.   Maveron GP, the general partner of Maveron 2000 and Maveron 2000-B, may be deemed to have sole power to dispose of these shares, and Levitan, the managing member of Maveron GP, may be deemed to have sole power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

2,110,348         

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

7.3% 1             

12

TYPE OF REPORTING PERSON*

OO                  

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 5 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

MEP 2000 Associates LLC (“MEP 2000”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
285,551 shares, except that Maveron LLC, the manager of MEP 2000, may be deemed to have sole power to vote these shares, and Levitan, the managing member of Maveron LLC, may be deemed to have sole power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
285,551 shares, except that Maveron LLC, the manager of MEP 2000, may be deemed to have sole power to dispose of these shares, and Levitan, the managing member of Maveron LLC, may be deemed to have sole power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

285,551           

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

1.0%1             

12

TYPE OF REPORTING PERSON*

OO                 

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 6 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron LLC

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
288,229 shares, of which 285,551 shares are directly owned by MEP 2000.   Maveron LLC, the manager of MEP 2000, may be deemed to have sole power to vote these shares, and Levitan, the managing member of Maveron LLC, may be deemed to have sole power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
288,229 shares, of which 285,551 shares are directly owned by MEP 2000.   Maveron LLC, the manager of MEP 2000, may be deemed to have sole power to dispose of these shares, and Levitan, the managing member of Maveron LLC, may be deemed to have sole power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

288,229            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

1.0% 1             

12

TYPE OF REPORTING PERSON*

OO                  

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 7 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron Equity Partners III, L.P. (“MEP III”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
775,752 shares, except that Maveron General Partner III LLC (“Maveron GP III”), the general partner MEP III, may be deemed to have sole power to vote these shares, and Dan Levitan (“Levitan”), Clayton Lewis (“Lewis”), Pete McCormick (“McCormick”) and Jason Stoffer (“Stoffer”), the managing members of Maveron GP III, may be deemed to have shared power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
775,752 shares, except that Maveron GP III, the general partner of MEP III, may be deemed to have sole power to dispose of these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

775,752            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

2.7%1             

12

TYPE OF REPORTING PERSON*

PN                  

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 8 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron III Entrepreneurs’ Fund, L.P. (“Maveron-Entrepreneurs’”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
32,914 shares, except that Maveron GP III, the general partner Maveron-Entrepreneurs’, may be deemed to have sole power to vote these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
32,914 shares, except that Maveron GP III, the general partner Maveron-Entrepreneurs’, may be deemed to have sole power to dispose of these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

32,914             

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

0.1%1             

12

TYPE OF REPORTING PERSON*

PN                  

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 9 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

MEP Associates III, L.P. (“Maveron-Associates”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
106,366 shares, except that Maveron GP III, the general partner Maveron-Associates, may be deemed to have sole power to vote these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
106,366 shares, except that Maveron GP III, the general partner Maveron- Associates, may be deemed to have sole power to dispose of these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

106,366            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

0.4% 1             

12

TYPE OF REPORTING PERSON*

PN                   

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 10 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Maveron General Partner III LLC

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, may be deemed to have sole power to vote these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to vote these shares.
  6 SHARED VOTING POWER
See response to row 5.
  7 SOLE DISPOSITIVE POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, may be deemed to have sole power to dispose of these shares, and Levitan, Lewis, McCormick and Stoffer, the managing members of Maveron GP III, may be deemed to have shared power to dispose of these shares.
  8 SHARED DISPOSITIVE POWER
See response to row 7.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

915,032            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

3.2% 1             

12

TYPE OF REPORTING PERSON*

OO                  

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 11 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Dan Levitan

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
2,422,045 shares, of which 2,046,400 shares are directly owned by Maveron 2000, 63,948 are directly owned by Maveron 2000-B, 285,551 shares are directly owned by MEP 2000, 2,678 shares are directly owned by Maveron LLC and 23,468 are directly owned by Levitan.  Levitan is the managing member of Maveron GP, which is the general partner of Maveron 2000 and Maveron 2000-B, and managing member of Maveron LLC, which is the manager of MEP 2000, and may be deemed to have sole power to vote these shares.
6 SHARED VOTING POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Levitan is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to vote these shares.
7 2,422,045 shares, of which 2,046,400 shares are directly owned by Maveron 2000, 63,948 are directly owned by Maveron 2000-B, 285,551 shares are directly owned by MEP 2000, 2,678 shares are directly owned by Maveron LLC and 23,468 are directly owned by Levitan.  Levitan is the managing member of Maveron GP, which is the general partner of Maveron 2000 and Maveron 2000-B, and managing member of Maveron LLC, which is the manager of MEP 2000, and may be deemed to have sole power to dispose of these shares.
8 SHARED DISPOSITIVE POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Levitan is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to dispose of these shares.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

3,337,077           

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

11.5% 1             

12

TYPE OF REPORTING PERSON*

IN                      

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 12 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Clayton Lewis

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
381 shares
6 SHARED VOTING POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Lewis is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to vote these shares.
7 SOLE DISPOSITIVE POWER
381 shares
8 SHARED DISPOSITIVE POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Lewis is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to dispose of these shares.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

915,413            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

3.2% 1             

12

TYPE OF REPORTING PERSON*

IN                    

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 13 of 20

 

1

NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)

Pete McCormick

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
701 shares
6 SHARED VOTING POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  McCormick is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to vote these shares.
7 SOLE DISPOSITIVE POWER
701 shares
8 SHARED DISPOSITIVE POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  McCormick is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to dispose of these shares.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

915,733            

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

3.2% 1             

12

TYPE OF REPORTING PERSON*

IN                    

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 14 of 20

 

1 NAME OF REPORTING PERSONS         Jason Stoffer
2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)     ¨      (b)      x     

3 SEC USE ONLY
4

CITIZENSHIP OR PLACE OF ORGANIZATION

U.S. Citizen

 

 

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH		 5 SOLE VOTING POWER
0 shares  
6 SHARED VOTING POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Stoffer is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to vote these shares.
7 SOLE DISPOSITIVE POWER
0 shares  
8 SHARED DISPOSITIVE POWER
915,032 shares, of which 775,752 shares are directly owned by MEP III, 32,914 shares are directly owned by Maveron-Entrepreneurs’, and 106,366 are directly owned by Maveron-Associates.  Stoffer is a managing member of Maveron GP III, the general partner of MEP III, Maveron-Entrepreneurs’ and Maveron-Associates, and may be deemed to have shared power to dispose of these shares.

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON

915,032           

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES*

¨      

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

3.2%1             

12

TYPE OF REPORTING PERSON*

IN                   

 

1 Based on 28,965,043 shares of Common Stock outstanding on October 31, 2014, as reported by the Issuer in its Form 10-Q filed with the Securities and Exchange Commission on November 5, 2014.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 15 of 20

 

This Amendment No. 1 amends the Statement on Schedule 13G previously filed by Maveron Equity Partners 2000, L.P., a Delaware limited partnership, Maveron Equity Partners 2000-B, L.P., a Delaware limited partnership, Maveron General Partner 2000 LLC, a Delaware limited liability company, MEP 2000 Associates LLC, a Delaware limited liability company, Maveron LLC, a Delaware limited liability company, Maveron Equity Partners III, L.P., a Delaware limited partnership, Maveron III Entrepreneurs’ Fund, L.P., a Delaware limited partnership, MEP Associates III, L.P., a Delaware limited partnership, Maveron General Partner III LLC, a Delaware limited liability company, Dan Levitan, Clayton Lewis, Pete McCormick and Jason Stoffer. The foregoing entities and individuals are collectively referred to as the “Reporting Persons.” Only those items as to which there has been a change are included in this Amendment No. 1.

 

ITEM 4. OWNERSHIP

 

The following information with respect to the ownership of the Class A Common Stock of the issuer by the persons filing this Statement is provided as of December 31, 2014.

 

  (a) Amount beneficially owned:

 

See Row 9 of cover page for each Reporting Person.

 

  (b) Percent of Class:

 

See Row 11 of cover page for each Reporting Person.

 

  (c) Number of shares as to which such person has:

 

  (i) Sole power to vote or to direct the vote:

 

See Row 5 of cover page for each Reporting Person.

 

  (ii) Shared power to vote or to direct the vote:

 

See Row 6 of cover page for each Reporting Person.

 

  (iii) Sole power to dispose or to direct the disposition of:

 

See Row 7 of cover page for each Reporting Person.

 

  (iv) Shared power to dispose or to direct the disposition of:

 

See Row 8 of cover page for each Reporting Person.

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 16 of 20

 

SIGNATURES

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

Date: February 13, 2015

 

MAVERON EQUITY PARTNERS III, L.P. /s/ Pete McCormick
By Maveron General Partner III LLC, Signature
Its General Partner  
  Pete McCormick, Managing Member
   
MAVERON III ENTREPRENEURS’ FUND, L.P. /s/ Pete McCormick
By Maveron General Partner III LLC, Signature
Its General Partner  
  Pete McCormick, Managing Member
   
MEP ASSOCIATES III, L.P. /s/ Pete McCormick
By Maveron General Partner III LLC, Signature
Its General Partner  
  Pete McCormick, Managing Member
   
MAVERON GENERAL PARTNER III LLC /s/ Pete McCormick
  Signature
   
  Pete McCormick, Managing Member
   
MAVERON EQUITY PARTNERS 2000, L.P. /s/ Pete McCormick
By Maveron General Partner 2000 LLC, Signature
Its General Partner  
  Pete McCormick, Attorney-In-Fact
   
MAVERON EQUITY PARTNERS 2000-B, L.P. /s/ Pete McCormick
By Maveron General Partner 2000 LLC, Signature
Its General Partner  
  Pete McCormick, Attorney-In-Fact
   
MAVERON GENERAL PARTNER 2000 LLC /s/ Pete McCormick
  Signature
   
  Pete McCormick, Attorney-In-Fact

 

 
 

 

CUSIP NO.  73754Y100 13 G Page 17 of 20

 

MEP 2000 ASSOCIATES LLC /s/ Pete McCormick
By Maveron LLC, Signature
Its Manager  
  Pete McCormick, Attorney-In-Fact
   
MAVERON LLC /s/ Pete McCormick
  Signature
   
  Pete McCormick, Attorney-In-Fact
   
DAN LEVITAN /s/ Pete McCormick
  Signature
   
  Pete McCormick, Attorney-In-Fact
   
CLAYTON LEWIS /s/ Pete McCormick
  Signature
   
  Pete McCormick, Attorney-In-Fact
   
PETE MCCORMICK /s/ Pete McCormick
  Signature
   
JASON STOFFER /s/ Pete McCormick
  Signature
   
  Pete McCormick, Attorney-In-Fact

 

 
 

 

CUSIP NO.  848637104 13 G Page 18 of 20

 

EXHIBIT INDEX

 

    Found on
Sequentially
Exhibit   Numbered Page
     
Exhibit A:  Agreement of Joint Filing   19
     
Exhibit B: Power of Attorney   20

 

 
 

 

CUSIP NO.  848637104 13 G Page 19 of 20

 

exhibit A

 

Agreement of Joint Filing

 

The Reporting Persons hereby agree that a single Schedule 13G (or any amendment thereto) relating to the Common Stock of Potbelly Corporation shall be filed on behalf of each of the Reporting Persons. Note that copies of the applicable Agreement of Joint Filing are already on file with the appropriate agencies.

 

 
 

 

CUSIP NO.  848637104 13 G Page 20 of 20

 

EXHIBIT B

 

Power of Attorney

 

Pete McCormick has signed this Schedule 13G as Attorney-In-Fact. Note that copies of the applicable Power of Attorney are already on file with the appropriate agencies.