0001415889-24-000777.txt : 20240105
0001415889-24-000777.hdr.sgml : 20240105
20240105163242
ACCESSION NUMBER: 0001415889-24-000777
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240103
FILED AS OF DATE: 20240105
DATE AS OF CHANGE: 20240105
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Glasman Zvi
CENTRAL INDEX KEY: 0001582879
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 24516702
MAIL ADDRESS:
STREET 1: C/O FOX FACTORY HOLDING CORP.
STREET 2: 915 DISC DRIVE
CITY: SCOTTS VALLEY
STATE: CA
ZIP: 95066
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PetIQ, Inc.
CENTRAL INDEX KEY: 0001668673
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122]
ORGANIZATION NAME: 07 Trade & Services
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 208-939-8900
MAIL ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
form4-01052024_090134.xml
X0508
4
2024-01-03
0001668673
PetIQ, Inc.
PETQ
0001582879
Glasman Zvi
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
false
true
false
false
CHIEF FINANCIAL OFFICER
0
Class A Common Stock
2024-01-03
4
M
0
9128
A
22937
D
Class A Common Stock
2024-01-03
4
F
0
5106
18.91
D
17831
D
Class A Common Stock
1600
I
Through Zvi and Marlise Glasman Family Trust
Restricted Stock Unit
2024-01-03
4
M
0
9128
0
D
Class A Common Stock
9128
18257
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
Shares withheld to satisfy tax withholding requirements upon vesting of RSUs.
The shares of Class A Common Stock are held by Zvi and Marlise Glasman Family Trust, of which the Reporting Person and his spouse are trustees and beneficiaries.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
The RSUs vest in approximately equal installments on each of the first four anniversaries of January 3, 2022, subject to the reporting person's continuous service as an employee of the Issuer.
/s/ William Carter, as attorney-in-fact
2024-01-04