0001593968-21-000789.txt : 20210303 0001593968-21-000789.hdr.sgml : 20210303 20210303215214 ACCESSION NUMBER: 0001593968-21-000789 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Christensen McCord CENTRAL INDEX KEY: 0001710861 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21712397 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 2021-03-01 0001668673 PetIQ, Inc. PETQ 0001710861 Christensen McCord 923 S. BRIDGEWAY PLACE EAGLE ID 83616 true true false false Chief Executive Officer Class A Common Stock 1534 D Option (right to buy) 35.66 2021-03-01 4 A false 53281 0 A 2022-03-01 2031-03-01 Class A Common Stock 53281 53281 D Restricted Stock Unit 2021-03-01 4 A false 26640 0 A Class A Common Stock 26640 26640 D Option (right to buy) 16 2018-07-20 2027-07-20 Class A Common Stock 205405 205405 D Option (right to buy) 24.97 2019-03-15 2028-03-15 Class A Common Stock 150000 150000 D Option (right to buy) 27.73 2020-03-13 2029-03-13 Class A Common Stock 37865 37865 D Restricted Stock Unit Class A Common Stock 6086 6086 D Option (right to buy) 19.49 2021-03-12 2030-03-12 Class A Common Stock 45435 45435 D Restricted Stock Unit Class A Common Stock 22717 22717 D Class B Common Stock Class A Common Stock 214027 214027 I See Footnote The options vest in approximately equal installments on each of the first four anniversaries of March 1, 2021, subject to the reporting person's continuous service as an employee of the Issuer. Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in approximately equal installments on each of the first four anniversaries of March 1, 2021, subject to the reporting person's continuous service as an employee of the Issuer The options vest and become exercisable in four approximately equal installments on each of the first four anniversaries of March 15, 2018. The RSUs vest in approximately equal installments on each of the first four anniversaries of March 13, 2019, subject to the reporting person's continuous service as an employee of the Issuer. The options vest in approximately equal installments on each of the first four anniversaries of March 12, 2020, subject to the reporting person's continuous service as an employee of the Issuer. The RSUs vest in approximately equal installments on each of the first four anniversaries of March 12, 2020, subject to the reporting person's continuous service as an employee of the Issuer. 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 of Class B Common Stock are held by Christensen Ventures ("Ventures"). Mr. Christensen is the manager of Ventures and exercises voting and investment control over all shares held by Ventures. This Form 4 filing clarifies the holdings of the reporting person since the IPO in 2017 including "founder's" shares, RSUs and options. /s/ R. Michael Herrman, as attorney-in-fact 2021-03-03