0001127602-20-021843.txt : 20200720 0001127602-20-021843.hdr.sgml : 20200720 20200720184607 ACCESSION NUMBER: 0001127602-20-021843 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200716 FILED AS OF DATE: 20200720 DATE AS OF CHANGE: 20200720 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCCOLLAM SHARON CENTRAL INDEX KEY: 0001225930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38936 FILM NUMBER: 201037248 MAIL ADDRESS: STREET 1: C/O OFFICEMAX INCORPORATED STREET 2: 263 SHUMAN BLVD. CITY: NAPERVILLE STATE: IL ZIP: 60563 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 form4.xml PRIMARY DOCUMENT X0306 4 2020-07-16 0001766502 Chewy, Inc. CHWY 0001225930 MCCOLLAM SHARON 1855 GRIFFIN ROAD, SUITE B-428 DANIA BEACH FL 33004 1 Class A Common Stock 2020-07-16 4 A 0 2719 0 A 2719 D Class A Common Stock 3500 D Class A Common Stock 4821 D Represents restricted stock units granted to the filing person on July 16, 2020 as compensation for service as a director. The restricted stock units will vest on the date of Chewy, Inc.'s annual meeting of stockholders in 2021, subject to the filing person's continued service as a director on the Board of Directors of Chewy, Inc. through the vesting date. Each restricted stock unit represents a contingent right to receive one share of Class A common stock of Chewy, Inc. Represents shares of Class A Common Stock directly held by the reporting person. Represents restricted stock units granted to the filing person on January 8, 2020 as compensation for service as a director. Such restricted stock units vested on July 14, 2020, the date of Chewy, Inc.'s annual meeting of stockholders in 2020. Such restricted stock units remain unsettled and will settle on the earlier of the date of the reporting person leaving the Board of Directors and a change in control of Chewy, Inc. /s/ Susan Helfrick, as Attorney-in-Fact for Sharon McCollam 2020-07-20