0001593968-21-001282.txt : 20210511 0001593968-21-001282.hdr.sgml : 20210511 20210511195524 ACCESSION NUMBER: 0001593968-21-001282 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210507 FILED AS OF DATE: 20210511 DATE AS OF CHANGE: 20210511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Michael A CENTRAL INDEX KEY: 0001781014 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 21913027 MAIL ADDRESS: STREET 1: 923 S. BRIDGEWAY PLACE STREET 2: C/O PETIQ, INC. 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 2021-05-07 0001668673 PetIQ, Inc. PETQ 0001781014 Smith Michael A 923 S BRIDGE WAY PL EAGLE ID 83616-6885 false true false false EVP - Products Restricted Stock Unit 2021-05-07 4 A false 25000 0 A Class A Common Stock 25000 25000 D Each RSU represents a contingent right to receive one share of Class A Common Stock. The RSU's vest in approximately equal installments on each of the first four anniversaries of May 07, 2021, subject to the reporting person's continuous service as an employee of the Issuer. /s/ R. Michael Herrman, as attorney-in-fact 2021-05-11