0001179110-18-010809.txt : 20180822 0001179110-18-010809.hdr.sgml : 20180822 20180822184335 ACCESSION NUMBER: 0001179110-18-010809 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180531 FILED AS OF DATE: 20180822 DATE AS OF CHANGE: 20180822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clarke James Nathan CENTRAL INDEX KEY: 0001710881 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 181033392 MAIL ADDRESS: STREET 1: 500 EAST 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: 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 edgar.xml FORM 4 - X0306 4 2018-05-31 0 0001668673 PetIQ, Inc. PETQ 0001710881 Clarke James Nathan 923 S. BRIDGEWAY PL EAGLE ID 83616 1 0 0 0 Restricted Stock Units 2018-05-31 4 A 0 1045 0.00 A Class A Common Stock 1045 1045 D Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in full on the first anniversary of May 31, 2018, subject to the reporting person's continued service as a Director. This Form 4 is being filed late due to inadvertent administrative error. /s/ Robert Mooney, Attorney in Fact 2018-08-22