0001209191-19-021071.txt : 20190322 0001209191-19-021071.hdr.sgml : 20190322 20190322181250 ACCESSION NUMBER: 0001209191-19-021071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190320 FILED AS OF DATE: 20190322 DATE AS OF CHANGE: 20190322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PRIM BILLY D CENTRAL INDEX KEY: 0001078296 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34850 FILM NUMBER: 19700949 MAIL ADDRESS: STREET 1: 101 NORTH CHERRY STREET STREET 2: SUITE 501 CITY: WINSTON SALEM STATE: NC ZIP: 27101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Primo Water Corp CENTRAL INDEX KEY: 0001365101 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 300278688 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 101 NORTH CHERRY STREET STREET 2: SUITE 501 CITY: WINSTON-SALEM STATE: NC ZIP: 27101 BUSINESS PHONE: 336-331-4000 MAIL ADDRESS: STREET 1: 101 NORTH CHERRY STREET STREET 2: SUITE 501 CITY: WINSTON-SALEM STATE: NC ZIP: 27101 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-20 0 0001365101 Primo Water Corp PRMW 0001078296 PRIM BILLY D 101 NORTH CHERRY STREET SUITE 501 WINSTON-SALEM NC 27101 1 1 0 0 Executive Chairman Common Stock 2019-03-20 4 M 0 3000 0.00 A 1668594 D Common Stock 2019-03-20 4 F 0 730 15.11 D 1667864 D Common Stock 8032 I See Footnote Common Stock 4791 I See Footnote Common Stock 4791 I See Footnote Common Stock 23957 I See Footnote Common Stock 23957 I See Footnote Common Stock 4791 I See Footnote Common Stock 4791 I See Footnote Restricted Stock Units 2019-03-20 4 M 0 3000 0.00 D Common Stock 3000 3000 D Represents shares of common stock received upon vesting of a restricted stock unit award. Represents shares of stock withheld to pay taxes upon the vesting of a restricted stock unit award. Held by Mr. Prim's spouse. Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee. Held by BD Prim, LLC of which Mr. Prim is the sole manager. Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee. Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee. Held by 2010 Irrevocable Trust fbo Jager Gralyn Dean Bellisimo of which Mr. Prim is the sole trustee. Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee. Each restricted stock unit represents a contingent right to receive one share of common stock. These restricted stock units vest in equal annual installments on March 20 of 2018, 2019 and 2020. /s/ Billy D. Prim by Michael H. Hutson, attorney-in-fact 2019-03-22