0001179110-18-011881.txt : 20181002
0001179110-18-011881.hdr.sgml : 20181002
20181002163104
ACCESSION NUMBER: 0001179110-18-011881
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180928
FILED AS OF DATE: 20181002
DATE AS OF CHANGE: 20181002
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: 181101713
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
2018-09-28
0
0001668673
PetIQ, Inc.
PETQ
0001710881
Clarke James Nathan
923 S. BRIDGEWAY PL
EAGLE
ID
83616
1
0
0
0
Class A Common Stock
2018-09-28
4
C
0
166000
0
A
166000
I
See Footnote
Class A Common Stock
2018-10-01
4
S
0
166000
37.1475
D
0
I
See Footnote
Class B Common Stock
2018-09-28
4
C
0
166000
0
D
Class A Common Stock
166000
1793680
I
See Footnote
Represents the exchange of Class B Common Stock into Class A Common Stock held of record by the reporting person.
The converted shares are held by The JNC 101 Trust. Andrea Clarke, the wife of James Clarke, is the trustee of this trust and exercises voting and investment control over all shares held by the trust. Also includes 889,123 shares of Class B Common Stock held by the JNC 101 Trust, 239,916 shares of Class B Common Stock held by the James N. Clarke Irrevocable Trust, dated December 27, 2012, of which Mrs. Clarke is the trustee and 239,916 shares of Class B Common Stock held by the Andrea M. Clarke Irrevocable Trust, dated December 27, 2012, of which Mr. Clarke is the trustee.
Represents shares of Class A Common Stock sold to the underwriters pursuant to an underwritten public offering that closed on October 1, 2018. The price per share received by the reporting person is equal to the public offering price of $39.00, less the underwriting discount.
Each share of Class B Common Stock may be exchanged for one share of Class A Common Stock at the option of the holder and has no expiration date.
Includes 353,703 shares of Class B Common Stock held by Labore et Honore LLC and 71,022 shares of Class B Common Stock held by Clarke Capital Partners LLC (collectively, the "Clarke Capital Entities"). Mr. Clarke is the manager of the Clarke Capital Entities and has voting and investment control over, and may be deemed the beneficial owner of, the shares of Class B Common Stock held by the Clarke Capital Entities.
/s/ Robert Mooney, Attorney in Fact
2018-10-02