0001593968-20-001734.txt : 20200812 0001593968-20-001734.hdr.sgml : 20200812 20200812180029 ACCESSION NUMBER: 0001593968-20-001734 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200811 FILED AS OF DATE: 20200812 DATE AS OF CHANGE: 20200812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIRD LARRY R CENTRAL INDEX KEY: 0001734842 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 201096419 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 2020-08-11 0001668673 PetIQ, Inc. PETQ 0001734842 BIRD LARRY R 923 S BRIDGE WAY PL EAGLE ID 83616-6885 true false false false Restricted Stock Unit 2020-08-11 4 A false 3069 0 A Class A Common Stock 3069 3069 D Each RSU represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in full on August 11, 2021, subject to the reporting person's continued service as a Director. /s/ R. Michael Herrman, as attorney-in-fact 2020-08-12