0001593968-21-001288.txt : 20210512
0001593968-21-001288.hdr.sgml : 20210512
20210512164221
ACCESSION NUMBER: 0001593968-21-001288
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210510
FILED AS OF DATE: 20210512
DATE AS OF CHANGE: 20210512
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: 21915721
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
2021-05-10
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
2021-05-10
4
M
false
15656
27.73
A
18384
D
Common Stock
2021-05-10
4
S
false
15656
42.25
D
2728
D
Common Stock
2021-05-10
4
M
false
3668
19.49
A
6396
D
Common Stock
2021-05-10
4
S
false
3668
42.25
D
2728
D
Option (right to buy)
27.73
2021-05-10
4
M
false
15656
0
D
2020-03-13
2029-03-13
Class A Common Stock
15656
31311
D
Option (right to buy)
19.49
2021-05-10
4
M
false
3668
0
D
2021-03-12
2030-03-12
Class A Common Stock
3668
11007
D
RSU with Annual / 4 years vesting schedule
/s/ R. Michael Herrman, as attorney-in-fact
2021-05-12