0001209191-19-061793.txt : 20191223 0001209191-19-061793.hdr.sgml : 20191223 20191223162747 ACCESSION NUMBER: 0001209191-19-061793 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191219 FILED AS OF DATE: 20191223 DATE AS OF CHANGE: 20191223 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: 191306452 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 2019-12-19 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 2019-12-19 4 X 0 354 9.60 A 85704 D Warrant (right to buy) 9.60 2019-12-19 4 X 0 354 0.00 D 2010-12-30 2019-12-30 Common Stock 354 0 D /s/ David J. Mills by Michael H. Hutson, attorney-in-fact 2019-12-23