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