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