0000899243-21-048772.txt : 20211217
0000899243-21-048772.hdr.sgml : 20211217
20211217162724
ACCESSION NUMBER: 0000899243-21-048772
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211217
FILED AS OF DATE: 20211217
DATE AS OF CHANGE: 20211217
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHOLTIS SUSAN
CENTRAL INDEX KEY: 0001734840
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 211501917
MAIL ADDRESS:
STREET 1: C/O PETIQ, INC., 500 E. SHORE DRIVE
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: 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
2021-12-17
0
0001668673
PetIQ, Inc.
PETQ
0001734840
SHOLTIS SUSAN
230 E. RIVERSIDE DR.
EAGLE
ID
83616
0
1
0
0
President
Class A Common Stock
2021-12-17
4
P
0
4750
20.85
A
9050
D
/s/ R. Michael Herrman, as attorney-in-fact
2021-12-17