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