0001415889-23-007656.txt : 20230509
0001415889-23-007656.hdr.sgml : 20230509
20230509164021
ACCESSION NUMBER: 0001415889-23-007656
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230507
FILED AS OF DATE: 20230509
DATE AS OF CHANGE: 20230509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Michael A
CENTRAL INDEX KEY: 0001781014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 23902836
MAIL ADDRESS:
STREET 1: 923 S. BRIDGEWAY PLACE
STREET 2: C/O PETIQ, INC.
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: 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
form4-05092023_080511.xml
X0407
4
2023-05-07
0001668673
PetIQ, Inc.
PETQ
0001781014
Smith Michael A
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
false
true
false
false
PRESIDENT & COO
0
Class A Common Stock
2023-05-07
4
M
0
6250
A
49460
D
Class A Common Stock
2023-05-07
4
F
0
2835
11.85
D
46625
D
Restricted Stock Unit
2023-05-07
4
M
0
6250
0
D
Class A Common Stock
6250
12500
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.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
The RSU's vest in approximately equal installments on each of the first four anniversaries of May 7, 2021, subject to the reporting person's continuous service as an employee of the Issuer.
/s/ R. Michael Herrman, as attorney-in-fact
2023-05-09