0001209191-19-004257.txt : 20190117
0001209191-19-004257.hdr.sgml : 20190117
20190117170648
ACCESSION NUMBER: 0001209191-19-004257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190115
FILED AS OF DATE: 20190117
DATE AS OF CHANGE: 20190117
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: 19531485
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON-SALEM
STATE: NC
ZIP: 27101
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-01-15
0
0001365101
Primo Water Corp
PRMW
0001332107
Mills David J
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM
NC
27101
0
1
0
0
Chief Financial Officer
Common Stock
2019-01-15
4
M
0
2500
0.00
A
67182
D
Common Stock
2019-01-15
4
F
0
874
14.59
D
66308
D
Restricted Stock Units
2019-01-15
4
M
0
2500
0.00
D
Common Stock
2500
7500
D
Represents shares of common stock received upon vesting of a restricted stock unit award.
Represents shares of stock withheld to pay taxes upon the vesting of a restricted stock unit award.
Each restricted stock unit represents a contingent right to receive one share of common stock.
These restricted stock units vest in four equal annual installments beginning on the first anniversary of the grant date.
/s/ David J. Mills by Michael H. Hutson, attorney-in-fact
2019-01-17