0001593968-21-000788.txt : 20210303 0001593968-21-000788.hdr.sgml : 20210303 20210303215109 ACCESSION NUMBER: 0001593968-21-000788 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 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: 21712392 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: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2021-03-01 0001668673 PetIQ, Inc. PETQ 0001770820 Herrman Robert Michael 923 S BRIDGE WAY PL EAGLE ID 83616-6885 false true false false General Counsel and Secretary Common Stock 1468 D Option (right to buy) 35.66 2021-03-01 4 A false 11217 0 A 2022-03-01 2031-03-01 Class A Common Stock 11217 11217 D Restricted Stock Unit 2021-03-01 4 A false 5609 0 A Class A Common Stock 5609 5609 D Option (right to buy) 27.73 2020-03-13 2029-03-13 Class A Common Stock 62622 62622 D Restricted Stock Unit Class A Common Stock 2029 2029 D Restricted Stock Unit Class A Common Stock 7337 7337 D Option (right to buy) 19.49 2021-03-12 2030-03-12 Class A Common Stock 14675 14675 D The options vest in approximately equal installments on each of the first four anniversaries of March 1, 2021, subject to the reporting person's continuous service as an employee of the Issuer. 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 1, 2021, subject to the reporting person's continuous service as an employee of the Issuer 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 RSUs vest in approximately equal installments on each of the first four anniversaries of March 12, 2020, 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 12, 2020, subject to the reporting person's continuous service as an employee of the Issuer. This Form 4 filing clarifies the holdings of the reporting person since the IPO in 2017 including "founder's" shares, RSUs and options. /s/ R. Michael Herrman, as attorney-in-fact 2021-03-03