0001209191-17-028727.txt : 20170428
0001209191-17-028727.hdr.sgml : 20170428
20170428163132
ACCESSION NUMBER: 0001209191-17-028727
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170426
FILED AS OF DATE: 20170428
DATE AS OF CHANGE: 20170428
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MCQUILKIN MALCOLM
CENTRAL INDEX KEY: 0001247260
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34850
FILM NUMBER: 17796094
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-04-26
0
0001365101
Primo Water Corp
PRMW
0001247260
MCQUILKIN MALCOLM
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM
NC
27101
1
0
0
0
Common Stock
2017-04-26
4
A
0
4720
0.00
A
68899
D
Common Stock
313607
I
See Footnote
These restricted stock units may only be settled in stock and vest immediately.
Held by Malcolm McQuilkin Living Trust of which Malcolm McQuilkin is a co-trustee.
/s/ David J. Mills by power of attorney for Malcolm McQuilkin
2017-04-28