0001593968-21-001952.txt : 20210809 0001593968-21-001952.hdr.sgml : 20210809 20210809172846 ACCESSION NUMBER: 0001593968-21-001952 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210618 FILED AS OF DATE: 20210809 DATE AS OF CHANGE: 20210809 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: 211157601 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 2021-06-18 0001668673 PetIQ, Inc. PETQ 0001734842 BIRD LARRY R 230 E RIVERSIDE DR EAGLE ID 83616-6885 true false false false Common Stock 2021-06-18 4 M false 3069 A 6863 D Restricted Stock Unit 2021-06-18 4 M false 3069 0 D Class A Common Stock 3069 0 D Settlement of restricted stock units ("RSU") into shares of Class A common stock. Each RSU represents a contingent right to receive one share of Class A Common Stock. No exercisable date for this type of award No Expiration date for this type of award /s/ R. Michael Herrman, as attorney-in-fact 2021-08-09