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