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