0000899243-18-022178.txt : 20180813 0000899243-18-022178.hdr.sgml : 20180813 20180813192106 ACCESSION NUMBER: 0000899243-18-022178 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180809 FILED AS OF DATE: 20180813 DATE AS OF CHANGE: 20180813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Santana Will CENTRAL INDEX KEY: 0001727824 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 181013849 MAIL ADDRESS: STREET 1: 500 E SHORE DR STREET 2: SUITE 120 CITY: EAGLE STATE: ID ZIP: 83616 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: 500 E. SHORE DRIVE SUITE 120 CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 500 E. SHORE DRIVE SUITE 120 CITY: EAGLE STATE: ID ZIP: 83616 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-08-09 0 0001668673 PetIQ, Inc. PETQ 0001727824 Santana Will 923 BRIDGEWAY PLACE EAGLE ID 83616 1 1 0 0 Executive Vice President Class A Common Stock 2018-08-09 4 C 0 10000 0.00 A 10000 I See Footnote Class A Common Stock 2018-08-09 4 S 0 10000 27.26 D 0 I See Footnote Class A Common Stock 2018-08-10 4 C 0 10000 0.00 A 10000 I See Footnote Class A Common Stock 2018-08-10 4 S 0 10000 27.01 D 0 I See Footnote Class B Common Stock 2018-08-09 4 C 0 10000 0.00 D Class A Common Stock 10000 2090000 I See Footnote Class B Common Stock 2018-08-10 4 C 0 10000 0.00 D Class A Common Stock 10000 2080000 I See Footnote Represents the conversion of Class B Common Stock in to Class A Common Stock held of record by the Reporting Person. The shares of Class B Common Stock are held by VIP Petcare Holdings, Inc. Mr. Santana holds 50% of the equity interests of VIP Petcare Holdings, Inc. The sale reported in this Form 4 was effectuated pursuant to a pre-established Rule 10b5-1 trading plan adopted by the reporting person. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.84 to $27.56, inclusive. The reporting person undertakes to provide to PetIQ, Inc., any security holder of PetIQ, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.71 to $27.58, inclusive. The reporting person undertakes to provide to PetIQ, Inc., any security holder of PetIQ, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (5) to this Form 4. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. /s/ Robert Mooney, by power of attorney 2018-08-13