0000899243-17-018947.txt : 20170726
0000899243-17-018947.hdr.sgml : 20170726
20170726121316
ACCESSION NUMBER: 0000899243-17-018947
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170726
FILED AS OF DATE: 20170726
DATE AS OF CHANGE: 20170726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MICHAEL GARY G
CENTRAL INDEX KEY: 0001182188
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 17982080
MAIL ADDRESS:
STREET 1: P. O. BOX 1718
CITY: BOISE
STATE: ID
ZIP: 83701
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: 500 E. SHORE DRIVE SUITE 120
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 208-939-8900
MAIL ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 500 E. SHORE DRIVE SUITE 120
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-07-26
0
0001668673
PetIQ, Inc.
PETQ
0001182188
MICHAEL GARY G
500 E. SHORE DRIVE, SUITE 120
EAGLE
ID
83616
1
0
0
0
Non-Qualified Stock Option (right to buy)
16.00
2017-07-26
4
A
0
20000
0.00
A
Class A Common Stock
20000
20000
D
The options vest and become exercisable on the first anniversary of July 20, 2017.
The options terminate on the tenth anniversary of July 20, 2017.
/s/ Robert Mooney, Attorney in Fact
2017-07-26