0001415889-23-000841.txt : 20230111
0001415889-23-000841.hdr.sgml : 20230111
20230111183231
ACCESSION NUMBER: 0001415889-23-000841
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230103
FILED AS OF DATE: 20230111
DATE AS OF CHANGE: 20230111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Glasman Zvi
CENTRAL INDEX KEY: 0001582879
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 23524506
MAIL ADDRESS:
STREET 1: C/O FOX FACTORY HOLDING CORP.
STREET 2: 915 DISC DRIVE
CITY: SCOTTS VALLEY
STATE: CA
ZIP: 95066
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PetIQ, Inc.
CENTRAL INDEX KEY: 0001668673
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 208-939-8900
MAIL ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 230 E. RIVERSIDE DR.
CITY: EAGLE
STATE: ID
ZIP: 83616
4
1
form4-01112023_110122.xml
X0306
4
2023-01-03
0001668673
PetIQ, Inc.
PETQ
0001582879
Glasman Zvi
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
false
true
false
false
CHIEF FINANCIAL OFFICER
Class A Common Stock
2023-01-03
4
M
0
9128
A
18928
D
Class A Common Stock
2023-01-03
4
F
0
5119
9.40
D
13809
D
Class A Common Stock
1600
I
Through Zvi and Marlise Glasman Family Trust
Restricted Stock Unit
2023-01-03
4
M
0
9128
0
D
Class A Common Stock
9128
27385
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
Shares withheld to satisfy minimum tax withholding requirements upon vesting of RSUs.
The shares of Class A Common Stock are held by Zvi and Marlise Glasman Family Trust ("Trust"), of which the Reporting Person and his spouse are trustees and beneficiaries.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
The RSUs vest in approximately equal installments on each of the first four anniversaries of January 3, 2022, subject to the reporting person's continuous service as an employee of the Issuer.
/s/ R. Michael Herrman, as attorney-in-fact
2023-01-11