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