0001209191-17-028721.txt : 20170428 0001209191-17-028721.hdr.sgml : 20170428 20170428162844 ACCESSION NUMBER: 0001209191-17-028721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170426 FILED AS OF DATE: 20170428 DATE AS OF CHANGE: 20170428 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: Kilgore Jack C. CENTRAL INDEX KEY: 0001521242 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34850 FILM NUMBER: 17796027 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 2017-04-26 0 0001365101 Primo Water Corp PRMW 0001521242 Kilgore Jack C. 101 NORTH CHERRY STREET SUITE 501 WINSTON-SALEM NC 27101 1 0 0 0 Common Stock 2017-04-26 4 A 0 4858 0.00 A 123313 D These restricted stock units may only be settled in stock and vest immediately. /s/ David J. Mills by power of attorney for Jack C. Kilgore 2017-04-28