0000899243-19-008010.txt : 20190315 0000899243-19-008010.hdr.sgml : 20190315 20190315190157 ACCESSION NUMBER: 0000899243-19-008010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190313 FILED AS OF DATE: 20190315 DATE AS OF CHANGE: 20190315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Herrman Robert Michael CENTRAL INDEX KEY: 0001770820 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 19686387 MAIL ADDRESS: STREET 1: 923 SOUTH BRIDGEWAY PLACE CITY: EAGLE STATE: ID ZIP: 83616 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PetIQ, Inc. CENTRAL INDEX KEY: 0001668673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: PETIQ LLC STREET 2: 500 E. SHORE DRIVE SUITE 120 CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 500 E. SHORE DRIVE SUITE 120 CITY: EAGLE STATE: ID ZIP: 83616 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-03-13 0 0001668673 PetIQ, Inc. PETQ 0001770820 Herrman Robert Michael 923 BRIDGE WAY PL EAGLE ID 83616 0 1 0 0 General Counsel and Secretary Restricted Stock Unit 2019-03-13 4 A 0 2705 0.00 A Class A Common Stock 2705 2705 D Option to Purchase Class A Common Stock 27.73 2019-03-13 4 A 0 12622 0.00 A 2020-03-13 2029-03-13 Class A Common Stock 12622 12622 D Option to Purchase Class A Common Stock 27.73 2019-03-13 4 A 0 50000 0.00 A 2020-03-13 2029-03-13 Class A Common Stock 50000 62622 D Each Restricted Stock Unit ("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 March 13, 2019, subject to the reporting person's continuous service as an employee of the issuer. The options vest in approximately equal installments on each of the first four anniversaries of March 13, 2019, subject to the reporting person's continuous service as an employee of the issuer. /s/ R. Michael Herrman 2019-03-15