0001593968-19-002095.txt : 20191107 0001593968-19-002095.hdr.sgml : 20191107 20191107183721 ACCESSION NUMBER: 0001593968-19-002095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191001 FILED AS OF DATE: 20191107 DATE AS OF CHANGE: 20191107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHOLTIS SUSAN CENTRAL INDEX KEY: 0001734840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 191201669 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: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 923 S. BRIDGEWAY PL. CITY: EAGLE STATE: ID ZIP: 83616 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2019-10-01 0001668673 PetIQ, Inc. PETQ 0001734840 SHOLTIS SUSAN 923 S. BRIDGE WAY PL EAGLE ID 83616 false true false false President Common Stock 2019-10-01 4 M false 10000 26.31 A 10000 D Restricted Stock Unit 2019-10-01 4 M false 10000 26.31 D Class A Common Stock 10000 10000 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. The RSUs vested in full on May 31, 2019. This Form 4 is being filed late due to inadvertent administrative error. /s/ R. Michael Herrman, as attorney-in-fact 2019-11-07