0001593968-21-001760.txt : 20210701 0001593968-21-001760.hdr.sgml : 20210701 20210701180556 ACCESSION NUMBER: 0001593968-21-001760 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210629 FILED AS OF DATE: 20210701 DATE AS OF CHANGE: 20210701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BIRD LARRY R CENTRAL INDEX KEY: 0001734842 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 211067297 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: 230 E. RIVERSIDE DR. CITY: EAGLE STATE: ID ZIP: 83616 BUSINESS PHONE: 208-939-8900 MAIL ADDRESS: STREET 1: PETIQ LLC STREET 2: 230 E. RIVERSIDE DR. CITY: EAGLE STATE: ID ZIP: 83616 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2021-06-29 0001668673 PetIQ, Inc. PETQ 0001734842 BIRD LARRY R 230 E RIVERSIDE DR EAGLE ID 83616-6885 true false false false Restricted Stock Unit 2021-06-29 4 A false 2245 0 A Class A Common Stock 2245 2245 D Each RSU represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in full on June 29, 2022, subject to the reporting person's continued service as a Director. /s/ R. Michael Herrman, as attorney-in-fact 2021-07-01