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