0001127602-23-026384.txt : 20231030
0001127602-23-026384.hdr.sgml : 20231030
20231030192430
ACCESSION NUMBER: 0001127602-23-026384
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231026
FILED AS OF DATE: 20231030
DATE AS OF CHANGE: 20231030
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaRose Brian
CENTRAL INDEX KEY: 0001878463
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39878
FILM NUMBER: 231361927
MAIL ADDRESS:
STREET 1: 10850 VIA FRONTERA
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Petco Health & Wellness Company, Inc.
CENTRAL INDEX KEY: 0001826470
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-RETAIL STORES, NEC [5990]
IRS NUMBER: 811005932
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0128
BUSINESS ADDRESS:
STREET 1: 10850 VIA FRONTERA
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
BUSINESS PHONE: 1-858-453-7845
MAIL ADDRESS:
STREET 1: 10850 VIA FRONTERA
CITY: SAN DIEGO
STATE: CA
ZIP: 92127
FORMER COMPANY:
FORMER CONFORMED NAME: PET Acquisition LLC
DATE OF NAME CHANGE: 20200929
FORMER COMPANY:
FORMER CONFORMED NAME: Petco Acquisition LLC
DATE OF NAME CHANGE: 20200929
4
1
form4.xml
PRIMARY DOCUMENT
X0508
4
2023-10-26
0001826470
Petco Health & Wellness Company, Inc.
WOOF
0001878463
LaRose Brian
C/O PETCO HEALTH AND WELLNESS COMPANY,
INC., 10850 VIA FRONTERA
SAN DIEGO
CA
92127
1
Chief Financial Officer
0
Class A Common Stock
2023-10-26
4
F
0
1626
3.24
D
246020
D
Class A Common Stock
3000
I
By spouse
The transaction reported reflects the withholding of restricted stock units ("RSUs") in satisfaction of the Reporting Person's tax liability. The RSUs were granted to the Reporting Person on April 26, 2022 pursuant to the Petco Health and Wellness Company, Inc. 2021 Equity Incentive Plan (as amended, the "2021 Plan"), and a portion vested on October 26, 2023.
Includes 189,957 outstanding RSUs granted under the 2021 Plan. Each RSU represents the right to receive one share of Class A common stock of the Issuer.
/s/ Giovanni Insana, as Attorney-in-Fact
2023-10-30