0001415889-23-010307.txt : 20230626
0001415889-23-010307.hdr.sgml : 20230626
20230626171838
ACCESSION NUMBER: 0001415889-23-010307
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230624
FILED AS OF DATE: 20230626
DATE AS OF CHANGE: 20230626
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FIRST MARK L
CENTRAL INDEX KEY: 0001256578
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 231043264
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10022
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: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 208-939-8900
MAIL ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
form4-06262023_090633.xml
X0407
4
2023-06-24
0001668673
PetIQ, Inc.
PETQ
0001256578
FIRST MARK L
437 MADISON AVE
NEW YORK
NY
10022
true
false
false
false
0
Class A Common Stock
2023-06-24
4
M
0
5364
A
12470
D
Restricted Stock Unit
2023-06-24
4
M
0
5364
0
D
Class A Common Stock
5364
0
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
No exercisable date for this type of award
No Expiration date for this type of award
/s/ R. Michael Herrman, as attorney-in-fact
2023-06-26