0001127602-22-017629.txt : 20220616
0001127602-22-017629.hdr.sgml : 20220616
20220616165046
ACCESSION NUMBER: 0001127602-22-017629
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220614
FILED AS OF DATE: 20220616
DATE AS OF CHANGE: 20220616
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: 221021226
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
2022-06-14
0001766502
Chewy, Inc.
CHWY
0001777084
Helfrick Susan
1855 GRIFFIN ROAD, SUITE B-428
DANIA BEACH
FL
33004
1
General Counsel
Class A Common Stock
2022-06-14
4
S
0
37261
27.183
D
108629
D
Class A Common Stock
179240
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 50% of these restricted stock units on December 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
2022-06-16