0001593968-21-001765.txt : 20210701
0001593968-21-001765.hdr.sgml : 20210701
20210701181204
ACCESSION NUMBER: 0001593968-21-001765
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: Kennedy Ronald
CENTRAL INDEX KEY: 0001710694
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38163
FILM NUMBER: 211067323
MAIL ADDRESS:
STREET 1: 500 EAST SHORE DR
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
0001710694
Kennedy Ronald
230 E RIVERSIDE DR
EAGLE
ID
83616-6885
true
false
false
false
Non-Employee Director
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