0001127602-22-019740.txt : 20220725
0001127602-22-019740.hdr.sgml : 20220725
20220725165027
ACCESSION NUMBER: 0001127602-22-019740
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220721
FILED AS OF DATE: 20220725
DATE AS OF CHANGE: 20220725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STAR JAMES A
CENTRAL INDEX KEY: 0001260705
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38936
FILM NUMBER: 221104051
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Chewy, Inc.
CENTRAL INDEX KEY: 0001766502
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0202
BUSINESS ADDRESS:
STREET 1: 1855 GRIFFIN ROAD, SUITE B-42
CITY: DANIA BEACH
STATE: FL
ZIP: 33004
BUSINESS PHONE: 786-320-7111
MAIL ADDRESS:
STREET 1: 1855 GRIFFIN ROAD, SUITE B-42
CITY: DANIA BEACH
STATE: FL
ZIP: 33004
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2022-07-21
0001766502
Chewy, Inc.
CHWY
0001260705
STAR JAMES A
1855 GRIFFIN ROAD, SUITE B-428
DANIA BEACH
FL
33004
1
Class A Common Stock
2022-07-21
4
A
0
5145
0
A
5145
D
Class A Common Stock
3523
D
Class A Common Stock
325987
I
See footnote
Class A Common Stock
109050
D
Represents restricted stock units granted to the reporting person on July 21, 2022 as compensation for service as a director. The restricted stock units will vest on the earlier of (1) the date of Chewy, Inc.'s annual meeting of stockholders in 2023, (2) one year from the date of grant, or (3) a change of control, each subject to the reporting person's continued service as a director on the Board of Directors of Chewy, Inc. through the vesting date. Each restricted stock unit represents a contingent right to receive one share of Class A common stock of Chewy, Inc.
Represents vested restricted stock units that remain unsettled and will settle on the earliest of the date of the reporting person leaving the Board of Directors and a change in control of Chewy, Inc.
Represents shares of Class A Common Stock owned by Downstream Partners, LP, in which the reporting person and his spouse have an indirect interest through a family trust. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
/s/ Susan Helfrick, as Attorney-in-Fact for James A. Star
2022-07-25