0001437749-19-014928.txt : 20190730 0001437749-19-014928.hdr.sgml : 20190730 20190730151956 ACCESSION NUMBER: 0001437749-19-014928 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190726 FILED AS OF DATE: 20190730 DATE AS OF CHANGE: 20190730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Campbell Leslie C.G. CENTRAL INDEX KEY: 0001686078 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28827 FILM NUMBER: 19985123 MAIL ADDRESS: STREET 1: C/O COUPA SOFTWARE INC. STREET 2: 1855 S. GRANT STREET CITY: SAN MATEO STATE: CA ZIP: 94402 FORMER NAME: FORMER CONFORMED NAME: Campbell Leslie - - DATE OF NAME CHANGE: 20160929 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PETMED EXPRESS INC CENTRAL INDEX KEY: 0001040130 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 650680967 STATE OF INCORPORATION: FL FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 420 SOUTH CONGRESS AVENUE CITY: DELRAY BEACH STATE: FL ZIP: 33445 BUSINESS PHONE: (561) 426-4444 MAIL ADDRESS: STREET 1: 420 SOUTH CONGRESS AVENUE CITY: DELRAY BEACH STATE: FL ZIP: 33445 4 1 rdgdoc.xml FORM 4 X0306 4 2019-07-26 0001040130 PETMED EXPRESS INC PETS 0001686078 Campbell Leslie C.G. 420 SOUTH CONGRESS AVENUE DELRAY BEACH FL 33445 1 Common Stock 2019-07-26 4 A 0 7500 15.98 A 15000 D Issued pursuant to the terms and conditions of the PetMed Express, Inc. 2015 Outside Director Equity Compensation Restricted Stock Plan, and held in escrow to be released ratable over a three year period condition upon continued employment. Ms. Campbell retains voting rights over all the shares while in escrow. /s/ Leslie C.G. Campbell 2019-07-30