SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
CULLIGAN INTERNATIONAL Co

(Last) (First) (Middle)
9399 WEST HIGGINS ROAD
SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Primo Water Corp [ PRMW ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/22/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/22/2011 S 2,894,717 D $10.697 0 D(1)(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
CULLIGAN INTERNATIONAL Co

(Last) (First) (Middle)
9399 WEST HIGGINS ROAD
SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN HOLDING INC.

(Last) (First) (Middle)
C/O CULLIGAN INTERNATIONAL COMPANY
9399 WEST HIGGINS ROAD, SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN HOLDING Co B.V.

(Last) (First) (Middle)
C/O CULLIGAN INTERNATIONAL COMPANY
9399 WEST HIGGINS ROAD, SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN HOLDING S.AR.L.

(Last) (First) (Middle)
C/O CULLIGAN INTERNATIONAL COMPANY
9399 WEST HIGGINS ROAD, SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN INTERNATIONAL S.AR.L.

(Last) (First) (Middle)
C/O CULLIGAN INTERNATIONAL COMPANY
9399 WEST HIGGINS ROAD, SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN INVESTMENTS S.AR.L.

(Last) (First) (Middle)
C/O CULLIGAN INTERNATIONAL COMPANY
9399 WEST HIGGINS ROAD, SUITE 1100

(Street)
ROSEMONT IL 60018

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CULLIGAN LTD.

(Last) (First) (Middle)
CANON'S COURT
22 VICTORIA STREET

(Street)
HAMILTON D0 HM 12

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CLAYTON DUBILIER & RICE FUND VI L P

(Last) (First) (Middle)
UGLAND HOUSE
113 SOUTH CHURCH STREET

(Street)
GEORGE TOWN E9 BWI

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CD&R ASSOCIATES VI L P

(Last) (First) (Middle)
UGLAND HOUSE
113 SOUTH CHURCH STREET

(Street)
GEORGE TOWN E9 BWI

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CD&R INVESTMENT ASSOCIATES VI INC

(Last) (First) (Middle)
UGLAND HOUSE
113 SOUTH CHURCH STREET

(Street)
GEORGE TOWN E9 BWI

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Reflects shares formerly held directly by Culligan International Company. Culligan International Company is a wholly-owned subsidiary of Culligan Holding Inc., which is a wholly-owned subsidiary of Culligan Holding Company B.V., which is a wholly-owned subsidiary of Culligan Holding S.??r.l., which is a wholly-owned subsidiary of Culligan International S.??r.l., which is a wholly-owned subsidiary of Culligan Investments S.??r.l., which is a wholly-owned subsidiary of Culligan Ltd. Clayton, Dubilier & Rice Fund VI Limited Partnership owns approximately 77.8% of the outstanding voting securities of Culligan Ltd. CD&R Associates VI Limited Partnership is the general partner of Clayton, Dubilier & Rice Fund VI Limited Partnership, and CD&R Investment Associates VI, Inc. is the general partner of CD&R Associates VI Limited Partnership. (Continued in footnote 2.)
2. Each of CD&R Associates VI Limited Partnership and CD&R Investment Associates VI, Inc. expressly disclaims beneficial ownership of the shares formerly held directly by Culligan International Company.
Remarks:
(a) Clayton, Dubilier & Rice Fund VI Limited Partnership by CD&R Associates VI Limited Partnership, its general partner, by CD&R Investment Associates VI, Inc., its general partner, by /s/ Theresa A. Gore, Vice President, Treasurer and Assistant Secretary (b) CD&R Associates VI Limited Partnership by CD&R Investment Associates VI, Inc., its general partner, by /s/ Theresa A. Gore, Vice President, Treasurer and Assistant Secretary (c) CD&R Investment Associates VI, Inc. by /s/ Theresa A. Gore, Vice President, Treasurer and Assistant Secretary
Culligan International Company by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Secretary 06/23/2011
Culligan Holding Inc. by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Secretary 06/23/2011
Culligan Holding Company B.V. by /s/ Mark A. Seals, Managing Director A 06/23/2011
Culligan Holding S.ar.l. by /s/ Susan E. Bennett, Manager 06/23/2011
Culligan International S.ar.l. by /s/ Susan E. Bennett, Manager 06/23/2011
Culligan Investments S.ar.l. by /s/ Susan E. Bennett, Manager 06/23/2011
Culligan Ltd. by /s/ Susan E. Bennett, Senior Vice President, General Counsel & Assistant Secretary 06/23/2011
See (a) in Remarks below 06/23/2011
See (b) in Remarks below 06/23/2011
See (c) in Remarks below 06/23/2011
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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