0000899243-20-000138.txt : 20200102 0000899243-20-000138.hdr.sgml : 20200102 20200102190021 ACCESSION NUMBER: 0000899243-20-000138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191230 FILED AS OF DATE: 20200102 DATE AS OF CHANGE: 20200102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Singh Sumit CENTRAL INDEX KEY: 0001777164 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38936 FILM NUMBER: 20502753 MAIL ADDRESS: STREET 1: C/O CHEWY, INC., 1855 GRIFFIN ROAD CITY: DANIA BEACH STATE: FL ZIP: 33004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Chewy, Inc. CENTRAL INDEX KEY: 0001766502 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0202 BUSINESS ADDRESS: STREET 1: 1855 GRIFFIN ROAD, SUITE B-42 CITY: DANIA BEACH STATE: FL ZIP: 33004 BUSINESS PHONE: 786-320-7111 MAIL ADDRESS: STREET 1: 1855 GRIFFIN ROAD, SUITE B-42 CITY: DANIA BEACH STATE: FL ZIP: 33004 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-12-30 0 0001766502 Chewy, Inc. CHWY 0001777164 Singh Sumit 1855 GRIFFIN ROAD, SUITE B-428 DANIA BEACH FL 33004 1 1 0 0 Chief Executive Officer Class A Common Stock 2019-12-31 4 S 0 125000 28.465 D 493058 D Class A Common Stock 2987331 D Class A Common Stock 2019-12-30 4 F 0 8786 25.50 D 23079 I By spouse Class A Common Stock 286784 I By spouse The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions in prices ranging from $28.40 to $28.62, inclusive. The reporting person undertakes to provide to Chewy, Inc., any securityholder of Chewy, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote 1 to this Form 4. Represents restricted stock units that will vest based on time vesting and share price conditions. Each restricted stock unit represents a contingent right to receive one share of Class A common stock of Chewy, Inc. The time-vesting condition will be satisfied with respect to 25% of these restricted stock units on June 13, 2020 and then with respect to 12.5% of these restricted stock units at the end of each six-month period thereafter, subject to the filing person's continued employment with Chewy, Inc. through the applicable vesting date. The share price condition will be satisfied with respect to a percentage of these restricted stock units, as and when the price per share of Class A common stock specified in Chewy, Inc.'s Registration Statement on Form S-1 (File No. 333-231095), as amended, is achieved, on a weighted-average basis, on every trading day during a consecutive 45-day trading period completed prior to June 13, 2024, subject to the filing person's continued employment with Chewy, Inc. through the applicable vesting date. The share price condition has currently been satisfied with respect to 72.5% of these restricted stock units. Represents shares withheld to satisfy tax liability upon the settlement of restricted stock units. /s/ Susan Helfrick, as Attorney-in-Fact for Sumit Singh 2020-01-02