0001593968-21-000952.txt : 20210316 0001593968-21-000952.hdr.sgml : 20210316 20210316192935 ACCESSION NUMBER: 0001593968-21-000952 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210312 FILED AS OF DATE: 20210316 DATE AS OF CHANGE: 20210316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Michael A CENTRAL INDEX KEY: 0001781014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21747788 MAIL ADDRESS: STREET 1: 923 S. BRIDGEWAY PLACE STREET 2: C/O PETIQ, INC. CITY: EAGLE STATE: ID ZIP: 83616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PetIQ, Inc. CENTRAL INDEX KEY: 0001668673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PETIQ LLC STREET 2: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2021-03-12 0001668673 PetIQ, Inc. PETQ 0001781014 Smith Michael A 923 S BRIDGE WAY PL EAGLE ID 83616-6885 false true false false EVP - Products Class A Common Stock 2021-03-12 4 M false 1580 36.55 A 1580 D Class A Common Stock 2021-03-12 4 F false 495 36.55 D 1085 D Class A Common Stock 2021-03-15 4 M false 11213 26.76 A 12298 D Class A Common Stock 2021-03-15 4 S false 11213 37.75 D 1085 D Option (right to buy) 26.76 2021-03-15 4 M false 11213 0 D 2020-05-28 2029-05-30 Class A Common Stock 11213 88787 D Restricted Stock Unit 2021-03-12 4 M false 1580 36.55 D Class A Common Stock 1580 4741 D Settlement of restricted stock units ("RSU") into shares of Class A common stock. Shares withheld to satisfy minimum tax withholding requirements upon vesting of RSUs. Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in approximately equal installments on each of the first four anniversaries of March 12, 2020, subject to the reporting person's continuous service as an employee of the Issuer. /s/ R. Michael Herrman, as attorney-in-fact 2021-03-16