0001593968-19-001041.txt : 20190503
0001593968-19-001041.hdr.sgml : 20190503
20190503173617
ACCESSION NUMBER: 0001593968-19-001041
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190315
FILED AS OF DATE: 20190503
DATE AS OF CHANGE: 20190503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BIRD LARRY R
CENTRAL INDEX KEY: 0001734842
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 19797407
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: 500 E. SHORE DRIVE SUITE 120
CITY: EAGLE
STATE: ID
ZIP: 83616
BUSINESS PHONE: 208-939-8900
MAIL ADDRESS:
STREET 1: PETIQ LLC
STREET 2: 500 E. SHORE DRIVE SUITE 120
CITY: EAGLE
STATE: ID
ZIP: 83616
4/A
1
primary_01.xml
PRIMARY DOCUMENT
X0306
4/A
2019-03-15
2019-03-19
0001668673
PetIQ, Inc.
PETQ
0001734842
BIRD LARRY R
923 S BRIDGE WAY PL
EAGLE
ID
83616-6885
true
false
false
false
Class A Common Stock
2019-03-15
4
M
false
667
27.94
A
667
D
Restricted Stock Unit
2019-03-15
4
M
false
667
27.94
D
Class A Common Stock
667
1335
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
No exercisable date for this type of award
The RSUs vest and settle in stock or cash in three approximately equal installments on each of the first three anniversaries of March 15, 2018.
No Expiration date for this type of award
This form is being amended to correct an administrative oversight related to shares withheld for tax.
/s/ R. Michael Herrman, as attorney-in-fact
2019-05-03