0001209191-19-045111.txt : 20190808
0001209191-19-045111.hdr.sgml : 20190808
20190808162823
ACCESSION NUMBER: 0001209191-19-045111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190808
FILED AS OF DATE: 20190808
DATE AS OF CHANGE: 20190808
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: 191009985
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
2019-08-08
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
2019-06-30
5
A
0
E
1248
10.46
A
145356
D
Common Stock
2019-08-08
4
P
0
500
11.06
A
17401
I
See Footnote
Common Stock
2019-08-08
4
P
0
500
11.13
A
17901
I
See Footnote
Common Stock
5250
I
See Footnote
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).
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.
/s/ David W. Hass by Michael H. Hutson, attorney-in-fact
2019-08-08