0001415889-22-004804.txt : 20220510 0001415889-22-004804.hdr.sgml : 20220510 20220510193002 ACCESSION NUMBER: 0001415889-22-004804 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220507 FILED AS OF DATE: 20220510 DATE AS OF CHANGE: 20220510 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: 22911628 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 form4-05102022_040549.xml X0306 4 2022-05-07 0001668673 PetIQ, Inc. PETQ 0001734840 SHOLTIS SUSAN C/O PETIQ, INC. 230 E. RIVERSIDE DR. EAGLE ID 83616 false true false false PRESIDENT Class A Common Stock 2022-05-07 4 M 0 12500 0 A 24976 D Class A Common Stock 2022-05-07 4 F 0 3448 16.36 D 21528 D Restricted Stock Unit 2022-05-07 4 M 0 12500 0 D Class A Common Stock 12500 37500 D Settlement of restricted stock units ("RSU") into shares of Class A common stock. Shares withheld to satisfy minimum tax withholding requirements upon vesting of RSUs. Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSU's vest in approximately equal installments on each of the first four anniversaries of May 07, 2021, subject to the reporting person's continuous service as an employee of the Issuer. /s/ R. Michael Herrman, as attorney-in-fact 2022-05-10