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