0001415889-22-002049.txt : 20220301
0001415889-22-002049.hdr.sgml : 20220301
20220301164119
ACCESSION NUMBER: 0001415889-22-002049
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220225
FILED AS OF DATE: 20220301
DATE AS OF CHANGE: 20220301
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: 22698879
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
form4-03012022_010301.xml
X0306
4
2022-02-25
0001668673
PetIQ, Inc.
PETQ
0001734840
SHOLTIS SUSAN
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
false
true
false
false
PRESIDENT
Restricted Stock Unit
2022-02-25
4
A
0
26190
0
A
Class A Common Stock
26190
26190
D
Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock.
The RSUs vest in approximately equal installments on each of the first four anniversaries of February 25, 2022, subject to the reporting person's continuous service as an employee of the Issuer.
/s/ R. Michael Herrman, as attorney-in-fact
2022-02-28