0001209191-16-109465.txt : 20160318
0001209191-16-109465.hdr.sgml : 20160318
20160318160700
ACCESSION NUMBER: 0001209191-16-109465
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160317
FILED AS OF DATE: 20160318
DATE AS OF CHANGE: 20160318
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: Mills David J
CENTRAL INDEX KEY: 0001332107
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34850
FILM NUMBER: 161516153
MAIL ADDRESS:
STREET 1: PRIMO WATER CORPORATION
STREET 2: 104 CAMBRIDGE PLAZA DRIVE
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27104
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-03-17
0
0001365101
Primo Water Corp
PRMW
0001332107
Mills David J
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM
NC
27101
0
1
0
0
Vice President Finance
Common Stock
2016-03-17
4
F
0
1282
9.39
D
36653
D
Deferred Stock Units
2016-03-17
4
F
0
6842
9.39
D
Common Stock
6842
144910
D
Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 11, 2016.
Includes 7,500 restricted stock units that vest in equal annual installments on March 11 of each of 2017, 2018 and 2019.
Each deferred stock unit has a value as of a given date equal to the fair market value of one share of PRMW common stock.
Shares withheld to satisfy tax withholding requirements in connection with the grant of deferred stock units on March 11, 2016.
These deferred stock units are to be delivered in equal annual installments in January of each of 2017, 2018, 2019, 2020 and 2021.
/s/ David J. Mills by Patrick J. Rogers, attorney-in-fact
2016-03-18