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