0001209191-17-022326.txt : 20170322
0001209191-17-022326.hdr.sgml : 20170322
20170322165043
ACCESSION NUMBER: 0001209191-17-022326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170310
FILED AS OF DATE: 20170322
DATE AS OF CHANGE: 20170322
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: 17707225
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27101
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-03-10
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
2017-03-10
4
F
0
1144
14.33
D
31283
D
Common Stock
2017-03-20
4
A
0
463
0.00
A
31746
D
Common Stock
2017-03-20
4
F
0
159
14.03
D
31587
D
Restricted Stock Units
2017-03-20
4
A
0
4000
0.00
A
Common Stock
4000
4000
D
Deferred Stock Units
2017-03-20
4
A
0
69120
0.00
A
Common Stock
69120
69120
D
Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 10, 2017.
These restricted stock units may only be settled in stock and vest immediately.
Shares withheld to satisfy tax withholding requirements on the vesting of restricted stock units on March 20, 2017.
Each restricted stock unit represents a contingent right to receive one share of common stock.
These restricted stock units vest in equal annual installments on March 20 of 2018, 2019 and 2020.
Each deferred stock unit has a value as of a given date equal to the fair market value of one share of Primo Water Corporation common stock.
Represents deferred stock units granted on March 20, 2017 in connection with the achievement of the second adjusted EBITDA target under the Primo Water Corporation Amended and Restated Value Creation Plan. These deferred stock units are to be delivered in January 2018.
/s/ David J. Mills
2017-03-22