0001593968-21-001951.txt : 20210809
0001593968-21-001951.hdr.sgml : 20210809
20210809172729
ACCESSION NUMBER: 0001593968-21-001951
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210618
FILED AS OF DATE: 20210809
DATE AS OF CHANGE: 20210809
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: 211157575
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
primary_01.xml
PRIMARY DOCUMENT
X0306
4
2021-06-18
0001668673
PetIQ, Inc.
PETQ
0001256578
FIRST MARK L
437 MADISON AVE
NEW YORK
NY
10022
true
false
false
false
Non-Employee Director
Class A Common Stock
2021-06-18
4
M
false
3069
A
4861
D
Class A Common Stock
1972687
I
See footnote
Restricted Stock Unit
2021-06-18
4
M
false
3069
0
D
Class A Common Stock
3069
0
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
Includes 1,660,344 shares of Class A Common Stock held by ECP Helios Partners IV, L.P. ("ECP Helios") and 312,343 shares of Class A common Stock held Eos Partners, L.P. ("Eos Partners" and together with ECP Helios, the "Eos Funds"). Each of the Eos Funds is managed by Eos Management. Mr. First is managing director of Eos Management and has voting and investment control over and may be considered the beneficial owner of the Class A Common stock owned by the Eos Funds. Mr. First disclaims beneficial ownership of such securities and this report shall not be deemed an admission that Mr. First is the beneficial owner of the securities for purposes of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein.
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
2021-08-09