0000899243-21-048598.txt : 20211216
0000899243-21-048598.hdr.sgml : 20211216
20211216160517
ACCESSION NUMBER: 0000899243-21-048598
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211214
FILED AS OF DATE: 20211216
DATE AS OF CHANGE: 20211216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Herrman Robert Michael
CENTRAL INDEX KEY: 0001770820
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 211497834
MAIL ADDRESS:
STREET 1: 923 SOUTH BRIDGEWAY PLACE
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: 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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-14
0
0001668673
PetIQ, Inc.
PETQ
0001770820
Herrman Robert Michael
230 E. RIVERSIDE DR.
EAGLE
ID
83616-6885
0
1
0
0
General Counsel and Secretary
Class A Common Stock
2021-12-14
4
P
0
2333
21.51
A
5061
D
/s/ R. Michael Herrman
2021-12-16