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