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