0001127602-23-021013.txt : 20230719 0001127602-23-021013.hdr.sgml : 20230719 20230719164732 ACCESSION NUMBER: 0001127602-23-021013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230717 FILED AS OF DATE: 20230719 DATE AS OF CHANGE: 20230719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STAR JAMES A CENTRAL INDEX KEY: 0001260705 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38936 FILM NUMBER: 231097197 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Chewy, Inc. CENTRAL INDEX KEY: 0001766502 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 901020167 FISCAL YEAR END: 0202 BUSINESS ADDRESS: STREET 1: 7700 WEST SUNRISE BOULEVARD CITY: PLANTATION STATE: FL ZIP: 33322 BUSINESS PHONE: 786-320-7111 MAIL ADDRESS: STREET 1: 7700 WEST SUNRISE BOULEVARD CITY: PLANTATION STATE: FL ZIP: 33322 4 1 form4.xml PRIMARY DOCUMENT X0508 4 2023-07-17 0001766502 Chewy, Inc. CHWY 0001260705 STAR JAMES A 7700 WEST SUNRISE BOULEVARD PLANTATION FL 33322 1 0 Class A Common Stock 114195 D Class A Common Stock 325987 I See footnote Class A Common Stock 3523 D Class A Common Stock 2023-07-17 4 A 0 4880 0 A 4880 D Represents shares of Class A Common Stock owned by Downstream Partners, LP, in which the reporting person and his spouse have an indirect interest through a family trust. The reporting person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein. Represents vested RSUs that remain unsettled and will settle on the earliest of the date of the reporting person leaving the Board of Directors and a change in control of Chewy, Inc. Represents restricted stock units ("RSUs") granted to the reporting person on July 17, 2023 as compensation for service as a director. The RSUs will vest on the earlier of (1) the date of Chewy, Inc.'s annual meeting of stockholders in 2024, (2) one year from the date of grant, or (3) a change of control, each subject to the reporting person's continued service as a director on the Board of Directors of Chewy, Inc. through the vesting date. Each RSU represents a contingent right to receive one share of Class A common stock of Chewy, Inc. /s/ Michael Morant, as Attorney-in-Fact for James A. Star 2023-07-19