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