0001182489-18-000395.txt : 20180905
0001182489-18-000395.hdr.sgml : 20180905
20180905194651
ACCESSION NUMBER: 0001182489-18-000395
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180813
FILED AS OF DATE: 20180905
DATE AS OF CHANGE: 20180905
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Christensen McCord
CENTRAL INDEX KEY: 0001710861
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 181056453
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/A
1
edgar.xml
FORM 4/A -
X0306
4/A
2018-08-13
2018-08-16
0
0001668673
PetIQ, Inc.
PETQ
0001710861
Christensen McCord
923 S. BRIDGEWAY PLACE
EAGLE
ID
83616
1
1
0
0
Chief Executive Officer
Class A Common Stock
2018-08-13
4
C
0
15474
0
A
15474
I
See Footnote (2)
Class A Common Stock
2018-08-14
4
S
0
15474
28.02
D
0
I
See Footnote (2)
Class B Common Stock
2018-08-13
4
C
0
15474
0
D
Class A Common Stock
15474
688055
I
See Footnote (2)
Represents the conversion of Class B Common Stock in to Class A Common Stock held of record by the reporting person.
The shares are held by Christensen Ventures, LLC ("Ventures"). Mr. Christensen is the manager of Ventures and exercises voting and investment control over all shares held by Ventures
The sale reported in this Form 4 was effectuated pursuant to a pre-established Rule 10b5-1 trading plan adopted by the reporting person.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $28.00 to $28.07, inclusive. The reporting person undertakes to provide to PetIQ, Inc., any security holder of PetIQ, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
These shares of Class B Common Stock, which are convertible on a one-for-one basis into shares of Class A Common Stock, were previously reported as shares of Class A Common Stock in Table I and will heretofore be reported in Table II.
This report on Form 4/A amends and replaces in its entirety the Form 4 filed by the Reporting Person on August 16, 2018. This transaction correctly reported the sale of shares on the original Form 4 filed on August 16, 2018, however, incorrectly reported the exchange of derivative securities.
/s/ Robert Mooney, Attorney in Fact
2018-09-05