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