0001209191-20-007009.txt : 20200205
0001209191-20-007009.hdr.sgml : 20200205
20200205172835
ACCESSION NUMBER: 0001209191-20-007009
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200203
FILED AS OF DATE: 20200205
DATE AS OF CHANGE: 20200205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kilgore Jack C.
CENTRAL INDEX KEY: 0001521242
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34850
FILM NUMBER: 20579876
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: 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
2020-02-03
0
0001365101
Primo Water Corp
PRMW
0001521242
Kilgore Jack C.
101 NORTH CHERRY STREET
SUITE 501
WINSTON-SALEM
NC
27101
1
0
0
0
Common Stock
2020-02-03
4
M
0
1924
14.00
A
134179
D
Common Stock
2020-02-03
4
F
0
1777
15.16
D
132402
D
Common Stock
2020-02-03
4
M
0
20161
1.30
A
152563
D
Common Stock
2020-02-03
4
F
0
1729
15.16
D
150834
D
Stock Option (right to buy)
14.00
2020-02-03
4
M
0
1924
0.00
D
2012-05-19
2021-05-19
Common Stock
1924
0
D
Stock Option (right to buy)
1.30
2020-02-03
4
M
0
20161
0.00
D
2013-05-18
2022-05-17
Common Stock
20161
0
D
Represents shares of common stock received upon the exercise of a stock option award.
Represents shares of common stock withheld by the Company in order to pay the exercise price of the shares acquired by the reporting person pursuant to the exercise of the applicable stock option. No open-market transactions were conducted by the reporting person in connection with this withholding to pay such exercise price.
/s/ Jack C. Kilgore by Michael H. Hutson, attorney-in-fact
2020-02-05