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