0001415889-22-007034.txt : 20220628
0001415889-22-007034.hdr.sgml : 20220628
20220628184135
ACCESSION NUMBER: 0001415889-22-007034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220624
FILED AS OF DATE: 20220628
DATE AS OF CHANGE: 20220628
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lefko Kimberly
CENTRAL INDEX KEY: 0001845418
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 221051358
MAIL ADDRESS:
STREET 1: 923 S. BRIDGEWAY PLACE
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
form4-06282022_030624.xml
X0306
4
2022-06-24
0001668673
PetIQ, Inc.
PETQ
0001845418
Lefko Kimberly
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
true
false
false
false
Restricted Stock Unit
2022-06-24
4
A
0
5364
0
A
Class A Common Stock
5364
5364
D
Each RSU represents a contingent right to receive one share of Class A Common Stock.
The RSUs vest in full on June 24, 2023, subject to the reporting person's continued service as a Director.
/s/ R. Michael Herrman, as attorney-in-fact
2022-06-28