0001593968-21-000379.txt : 20210208 0001593968-21-000379.hdr.sgml : 20210208 20210208182942 ACCESSION NUMBER: 0001593968-21-000379 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210131 FILED AS OF DATE: 20210208 DATE AS OF CHANGE: 20210208 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: 21603003 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 2021-01-31 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 2021-01-31 4 C false 10000 0 A 181792 I See Footnote Class B common stock 2021-01-31 4 C false 10000 D Class A Common Stock 10000 119956 I See Footnote Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person. 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. 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. This Form 4 is being filed late due to inadvertent administrative error. /s/ R. Michael Herrman, as attorney-in-fact 2021-02-08