0001593968-21-000790.txt : 20210303 0001593968-21-000790.hdr.sgml : 20210303 20210303215517 ACCESSION NUMBER: 0001593968-21-000790 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: SHOLTIS SUSAN CENTRAL INDEX KEY: 0001734840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21712411 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 2021-03-01 0001668673 PetIQ, Inc. PETQ 0001734840 SHOLTIS SUSAN 923 S. BRIDGE WAY PL EAGLE ID 83616 false true false false President Option (right to buy) 35.66 2021-03-01 4 A false 15423 0 A 2022-03-01 2031-03-01 Class A Common Stock 15423 15423 D Restricted Stock Unit 2021-03-01 4 A false 7712 0 A Class A Common Stock 7712 7712 D 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 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