0001127602-21-031174.txt : 20211216 0001127602-21-031174.hdr.sgml : 20211216 20211216180709 ACCESSION NUMBER: 0001127602-21-031174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211214 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Helfrick Susan CENTRAL INDEX KEY: 0001777084 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38936 FILM NUMBER: 211498979 MAIL ADDRESS: STREET 1: C/O CHEWY, INC., 1855 GRIFFIN ROAD CITY: DANIA BEACH STATE: FL ZIP: 33004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Chewy, Inc. CENTRAL INDEX KEY: 0001766502 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 0202 BUSINESS ADDRESS: STREET 1: 1855 GRIFFIN ROAD, SUITE B-42 CITY: DANIA BEACH STATE: FL ZIP: 33004 BUSINESS PHONE: 786-320-7111 MAIL ADDRESS: STREET 1: 1855 GRIFFIN ROAD, SUITE B-42 CITY: DANIA BEACH STATE: FL ZIP: 33004 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-12-14 0001766502 Chewy, Inc. CHWY 0001777084 Helfrick Susan 1855 GRIFFIN ROAD, SUITE B-428 DANIA BEACH FL 33004 1 General Counsel Class A Common Stock 2021-12-14 4 S 0 16639 54.852 D 72981 D Class A Common Stock 2021-12-15 4 S 0 16711 54.615 D 56270 D Class A Common Stock 268860 D Class A Common Stock 5000 I By spouse Represents shares sold to satisfy tax liability upon the vesting of restricted stock units. Represents restricted stock units. Each restricted stock unit represents a contingent right to receive one share of Class A common stock of Chewy, Inc. The time-vesting condition will be satisfied with respect to 33.33% of these restricted stock units on June 13, 2022 and at the end of each six-month period thereafter, subject to the filing person's continued employment with Chewy, Inc. through the applicable vesting date. The share price condition will be satisfied with respect to a percentage of these restricted stock units, as and when the price per share of Class A common stock specified in Chewy, Inc.'s Registration Statement on Form S-1 (File No. 333-231095), as amended, is achieved, on a weighted-average basis, on every trading day during a consecutive 45-day trading period completed prior to December 14, 2024, subject to the filing person's continued employment with Chewy, Inc. through the applicable vesting date. The share price condition has been satisfied with respect to 100% of these restricted stock units. /s/ Susan Helfrick 2021-12-16