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