0001593968-21-000791.txt : 20210303 0001593968-21-000791.hdr.sgml : 20210303 20210303215627 ACCESSION NUMBER: 0001593968-21-000791 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: Smith Michael A CENTRAL INDEX KEY: 0001781014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21712417 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: 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 0001781014 Smith Michael A 923 S BRIDGE WAY PL EAGLE ID 83616-6885 false true false false EVP - Products Option (right to buy) 35.66 2021-03-01 4 A false 14021 0 A 2022-03-01 2031-03-01 Class A Common Stock 14021 14021 D Restricted Stock Unit 2021-03-01 4 A false 7011 0 A Class A Common Stock 7011 7011 D Restricted Stock Unit Class A Common Stock 11631 11631 D Option to Purchase Class A Common Stock 26.76 2020-05-28 2029-05-28 Class A Common Stock 100000 100000 D Restricted Stock Unit Class A Common Stock 6321 6321 D Option (right to buy) 19.49 2021-03-12 2030-03-12 Class A Common Stock 12643 12643 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 May 28, 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 May 28, 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