0001593968-20-001339.txt : 20200602
0001593968-20-001339.hdr.sgml : 20200602
20200602185156
ACCESSION NUMBER: 0001593968-20-001339
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200529
FILED AS OF DATE: 20200602
DATE AS OF CHANGE: 20200602
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clarke James Nathan
CENTRAL INDEX KEY: 0001710881
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 20938514
MAIL ADDRESS:
STREET 1: 500 EAST 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
2020-05-29
0001668673
PetIQ, Inc.
PETQ
0001710881
Clarke James Nathan
923 S. BRIDGE WAY PL
EAGLE
ID
83616
true
false
false
false
Class A Common Stock
2020-05-29
4
M
false
747
30.68
A
1792
D
Class A Common Stock
35550
I
See Footnote
Restricted Stock Unit
2020-05-29
4
M
false
747
30.68
D
Class A Common Stock
747
0
D
Settlement of restricted stock units ("RSU") into shares of Class A common stock.
The shares are held by The JNC 101 Trust. Andrea Clarke, the wife of Mr. Clarke, is the trustee of The JNC 101 Trust and exercises voting and investment control over all shares held by The JNC 101 Trust.
Each RSU represents a contingent right to receive one share of Class A Common Stock.
No exercisable date for this type of award
No Expiration date for this type of award
/s/ R. Michael Herrman, as attorney-in-fact
2020-06-02