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