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