0001415889-24-018098.txt : 20240625
0001415889-24-018098.hdr.sgml : 20240625
20240625120908
ACCESSION NUMBER: 0001415889-24-018098
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240607
FILED AS OF DATE: 20240625
DATE AS OF CHANGE: 20240625
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hall Allan
CENTRAL INDEX KEY: 0001925301
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 241067451
MAIL ADDRESS:
STREET 1: C/O PETIQ, INC.
STREET 2: 230 E. RIVERSIDE DR.
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]
ORGANIZATION NAME: 07 Trade & Services
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
form4-06252024_040605.xml
X0508
4
2024-06-07
0001668673
PetIQ, Inc.
PETQ
0001925301
Hall Allan
C/O PETIQ, INC.
230 E. RIVERSIDE DR.
EAGLE
ID
83616
true
false
false
false
0
Restricted Stock Unit
2024-06-07
4
A
0
4103
0
A
Class A Common Stock
4103
4103
D
Each RSU represents a contingent right to receive one share of Class A Common Stock.
Form is being filed late due to inadvertent administrative error.
The RSUs vest in full on June 7, 2025, subject to the reporting person's continued service as a Director.
/s/ Patrick Jones, by power of attorney
2024-06-24