0001209191-19-034320.txt : 20190604 0001209191-19-034320.hdr.sgml : 20190604 20190604164202 ACCESSION NUMBER: 0001209191-19-034320 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190531 FILED AS OF DATE: 20190604 DATE AS OF CHANGE: 20190604 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: 19877156 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 2019-05-31 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 2019-05-31 4 M 0 2000 0.00 A 144699 D Common Stock 2019-05-31 4 F 0 591 11.54 D 144108 D Common Stock 16901 I See Footnote Common Stock 5250 I See Footnote Restricted Stock Units 2019-05-31 4 M 0 2000 0.00 D Common Stock 2000 4000 D Represents shares of common stock received upon vesting of a restricted stock unit award on May 31, 2019. Represents shares of common stock withheld to pay taxes upon the vesting of a restricted stock unit award on May 31, 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 restricted stock unit represents a contingent right to receive one share of common stock. Represents a restricted stock unit award granted on May 31, 2017 that partially vested on May 31, 2019. The restricted stock units vest in four equal annual installments beginning on May 31, 2018. /s/ David W. Hass by Michael H. Hutson, attorney-in-fact 2019-06-04