0001209191-19-005419.txt : 20190125
0001209191-19-005419.hdr.sgml : 20190125
20190125180517
ACCESSION NUMBER: 0001209191-19-005419
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190123
FILED AS OF DATE: 20190125
DATE AS OF CHANGE: 20190125
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PRIM BILLY D
CENTRAL INDEX KEY: 0001078296
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34850
FILM NUMBER: 19543493
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON SALEM
STATE: NC
ZIP: 27101
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Primo Water Corp
CENTRAL INDEX KEY: 0001365101
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141]
IRS NUMBER: 300278688
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27101
BUSINESS PHONE: 336-331-4000
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27101
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-01-23
0
0001365101
Primo Water Corp
PRMW
0001078296
PRIM BILLY D
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM
NC
27101
1
1
0
0
Executive Chairman
Common Stock
2019-01-23
4
M
0
174528
0.00
A
1678531
D
Common Stock
2019-01-23
4
M
0
79520
0.00
A
1758051
D
Common Stock
2019-01-23
4
F
0
93387
13.88
D
1664664
D
Common Stock
8032
I
See Footnote
Common Stock
4791
I
See Footnote
Common Stock
4791
I
See Footnote
Common Stock
23957
I
See Footnote
Common Stock
23957
I
See Footnote
Common Stock
4791
I
See Footnote
Common Stock
4791
I
See Footnote
Deferred Stock Units
2019-01-23
4
M
0
174528
0.00
D
Common Stock
174528
523586
D
Deferred Stock Units
2019-01-23
4
M
0
79520
0.00
D
Common Stock
79520
238560
D
Represents shares of common stock received upon vesting of deferred stock units on January 23, 2019.
Shares withheld to satisfy tax withholding requirements on the vesting of deferred stock units on January 23, 2019.
Held by Mr. Prim's spouse.
Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee.
Held by BD Prim, LLC of which Mr. Prim is the sole manager.
Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Jager Gralyn Dean Bellisimo of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee.
Each deferred stock unit has a value as of a given date equal to the fair market value of one share of Primo Water Corporation common stock.
174,528 deferred stock units were delivered on January 23, 2019. The remaining 523,586 deferred stock units are to be delivered in equal annual installments in January of each of 2020, 2021 and 2022.
79,520 deferred stock units were delivered on January 23, 2019. The remaining 238,560 deferred stock units are to be delivered in equal annual installments in January of each of 2020, 2021 and 2022.
/s/ Billy D. Prim by Michael H. Hutson, attorney-in-fact
2019-01-25