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