0001415889-23-011817.txt : 20230803
0001415889-23-011817.hdr.sgml : 20230803
20230803170515
ACCESSION NUMBER: 0001415889-23-011817
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230801
FILED AS OF DATE: 20230803
DATE AS OF CHANGE: 20230803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Michael A
CENTRAL INDEX KEY: 0001781014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 231141100
MAIL ADDRESS:
STREET 1: 923 S. BRIDGEWAY PLACE
STREET 2: C/O PETIQ, INC.
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
form4-08032023_090809.xml
X0508
4
2023-08-01
0001668673
PetIQ, Inc.
PETQ
0001781014
Smith Michael A
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
false
true
false
false
PRESIDENT & COO
0
Restricted Stock Unit
2023-08-01
4
A
0
200000
0
A
Class A Common Stock
200000
200000
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 August 1, 2023, subject to the reporting person's continuous service as an employee of the Issuer.
/s/ Patrick Jones, by power of attorney
2023-08-03