0001209191-20-005228.txt : 20200128
0001209191-20-005228.hdr.sgml : 20200128
20200128175210
ACCESSION NUMBER: 0001209191-20-005228
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200124
FILED AS OF DATE: 20200128
DATE AS OF CHANGE: 20200128
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: 20555761
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
2020-01-24
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
2019-12-31
5
A
0
E
536
9.55
A
145892
D
Common Stock
2020-01-24
4
M
0
29095
0.00
A
174987
D
Common Stock
2020-01-24
4
M
0
16620
0.00
A
191607
D
Common Stock
2020-01-24
4
F
0
19170
14.51
D
172437
D
Common Stock
17901
I
See Footnote
Common Stock
5250
I
See Footnote
Deferred Stock Units
2020-01-24
4
M
0
29095
0.00
D
Common Stock
29095
29096
D
Deferred Stock Units
2020-01-24
4
M
0
16620
0.00
D
Common Stock
16620
16620
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 the settlement of deferred stock units on January 24, 2020.
Represents shares of common stock withheld by the Company in order to pay taxes upon the settlement of deferred stock units on January 24, 2020. No open-market transactions were conducted by the reporting person in connection with this withholding.
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 settled into shares of Common Stock and delivered on January 24, 2020. The remaining 29,096 deferred stock units are to be settled into shares of Common Stock and delivered in January 2021.
16,620 deferred stock units were settled into shares of Common Stock and delivered on January 24, 2020. The remaining 16,620 deferred stock units are to be settled into shares of Common Stock and delivered in January 2021.
/s/ David W. Hass by Michael H. Hutson, attorney-in-fact
2020-01-28