0001209191-18-021257.txt : 20180322
0001209191-18-021257.hdr.sgml : 20180322
20180322163138
ACCESSION NUMBER: 0001209191-18-021257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180320
FILED AS OF DATE: 20180322
DATE AS OF CHANGE: 20180322
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hass David W.
CENTRAL INDEX KEY: 0001706875
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34850
FILM NUMBER: 18707284
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET, 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
2018-03-20
0
0001365101
Primo Water Corp
PRMW
0001706875
Hass David W.
101 NORTH CHERRY STREET, SUITE 501
WINSTON-SALEM
NC
27101
0
1
0
0
Chief Strategy Officer
Common Stock
2018-03-20
4
M
0
1334
0.00
A
107899
D
Common Stock
2018-03-20
4
F
0
387
11.34
D
107512
D
Common Stock
16901
I
See Footnote
Common Stock
5250
I
See Footnote
Restricted Stock Units
2018-03-20
4
M
0
1334
0.00
D
Common Stock
1334
2666
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.
Held by David W. Hass Living Trust, of which David Hass is a trustee.
These shares of common stock are owned by HB Capital LLC, of which David Hass is a member. Mr. Hass may be deemed an indirect beneficial owner of the securities held directly by HB Capital LLC. Mr. Hass disclaims beneficial ownership of the securities held directly by HB Capital LLC, except to the extent of his pecuniary interest therein.
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.
/s/ David W. Hass by Michael H. Hutson, attorney-in-fact
2018-03-22