0001415889-23-010242.txt : 20230623 0001415889-23-010242.hdr.sgml : 20230623 20230623163656 ACCESSION NUMBER: 0001415889-23-010242 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230621 FILED AS OF DATE: 20230623 DATE AS OF CHANGE: 20230623 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hall Allan CENTRAL INDEX KEY: 0001925301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 231038275 MAIL ADDRESS: STREET 1: C/O PETIQ, INC. STREET 2: 230 E. RIVERSIDE DR. 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 form4-06232023_080649.xml X0407 4 2023-06-21 0001668673 PetIQ, Inc. PETQ 0001925301 Hall Allan C/O PETIQ, INC. 230 E. RIVERSIDE DR. EAGLE ID 83616 true false false false 0 Restricted Stock Unit 2023-06-21 4 A 0 6077 0 A Class A Common Stock 6077 6077 D Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in full on June 21, 2024, subject to the reporting person's continued service as a Director. /s/ R. Michael Herrman, as attorney-in-fact 2023-06-23