0001593968-21-002240.txt : 20211005 0001593968-21-002240.hdr.sgml : 20211005 20211005172349 ACCESSION NUMBER: 0001593968-21-002240 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHOLTIS SUSAN CENTRAL INDEX KEY: 0001734840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38163 FILM NUMBER: 211307813 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 2021-10-01 0001668673 PetIQ, Inc. PETQ 0001734840 SHOLTIS SUSAN 923 S. BRIDGE WAY PL EAGLE ID 83616 false true false false President Class A Common Stock 2021-10-01 4 M false 3340 25.5 A 5345 D Class A Common Stock 2021-10-01 4 F false 1045 25.5 D 4300 D Restricted Stock Unit 2021-10-01 4 M false 3340 25.5 D Class A Common Stock 3340 3320 D Settlement of restricted stock units ("RSU") into shares of Class A common stock. Shares withheld to satisfy minimum tax withholding requirements upon vesting of RSUs. Each Restricted Stock Unit ("RSU") represents a contingent right to receive one share of Class A Common Stock. The RSUs vest in approximately one half on the first anniversary of October 1, 2018 and one third of the remaining balance on each of the next three anniversaries, subject to the reporting person's continuous service as an employee of the Issuer. /s/ R. Michael Herrman, as attorney-in-fact 2021-10-05