0001593968-21-000065.txt : 20210105 0001593968-21-000065.hdr.sgml : 20210105 20210105184547 ACCESSION NUMBER: 0001593968-21-000065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210105 DATE AS OF CHANGE: 20210105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kennedy Ronald CENTRAL INDEX KEY: 0001710694 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21507990 MAIL ADDRESS: STREET 1: 500 EAST SHORE DR 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 2020-12-31 0001668673 PetIQ, Inc. PETQ 0001710694 Kennedy Ronald 923 S. BRIDGE WAY PL EAGLE ID 83616-6885 true false false false Non-Employee Director Class A Common Stock 2020-12-31 4 C false 10000 0 A 171792 I See Footnote Class B common stock 2020-12-31 4 C false 10000 D Class A Common Stock 10000 129956 I See Footnote Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person. The shares are held by Kennedy Family Investments, LLC. Mr. Kennedy is the manager of Kennedy Family Investments, LLC and exercises voting and investment control over all shares held by Kennedy Family Investments, LLC. Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date. /s/ R. Michael Herrman, as attorney-in-fact 2021-01-05