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