0001209191-19-005415.txt : 20190125
0001209191-19-005415.hdr.sgml : 20190125
20190125175848
ACCESSION NUMBER: 0001209191-19-005415
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190123
FILED AS OF DATE: 20190125
DATE AS OF CHANGE: 20190125
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: 19543478
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
2019-01-23
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
2018-06-29
5
A
0
E
1186
10.68
A
111493
D
Common Stock
2018-12-31
5
A
0
E
802
10.68
A
112295
D
Common Stock
2019-01-23
4
M
0
29095
0.00
A
141390
D
Common Stock
2019-01-23
4
M
0
16620
0.00
A
158010
D
Common Stock
2019-01-23
4
F
0
19165
13.88
D
138845
D
Common Stock
16901
I
See Footnote
Common Stock
5250
I
See Footnote
Deferred Stock Units
2019-01-23
4
M
0
29095
0.00
D
Common Stock
29095
58191
D
Deferred Stock Units
2019-01-23
4
M
0
16620
0.00
D
Common Stock
16620
33240
D
These shares were acquired under the Primo Water Corporation Employee Stock Purchase Plan, as amended, in transactions that were exempt under both Rule 16b-3(c) and Rule 16b-3(d).
Represents shares of common stock received upon vesting of deferred stock units on January 23, 2019.
Shares withheld to satisfy tax withholding requirements on the vesting of deferred stock units on January 23, 2019.
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 deferred stock unit has a value as of a given date equal to the fair market value of one share of Primo Water Corporation common stock.
29,095 deferred stock units were delivered on January 23, 2019. The remaining 58,191 deferred stock units are to be delivered in equal annual installments in January of each of 2020 and 2021.
16,620 deferred stock units were delivered on January 23, 2019. The remaining 33,240 deferred stock units are to be delivered in equal annual installments in January of each of 2020 and 2021.
/s/ David W. Hass by Michael H. Hutson, attorney-in-fact
2019-01-25