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