0001209191-21-030933.txt : 20210507 0001209191-21-030933.hdr.sgml : 20210507 20210507164429 ACCESSION NUMBER: 0001209191-21-030933 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20210507 DATE AS OF CHANGE: 20210507 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Melaragni Anne CENTRAL INDEX KEY: 0001861116 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31410 FILM NUMBER: 21903539 MAIL ADDRESS: STREET 1: 4221 WEST BOY SCOUT BOULEVARD CITY: TAMPA STATE: FL ZIP: 33607 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Primo Water Corp /CN/ CENTRAL INDEX KEY: 0000884713 STANDARD INDUSTRIAL CLASSIFICATION: BOTTLED & CANNED SOFT DRINKS CARBONATED WATERS [2086] IRS NUMBER: 980154711 FISCAL YEAR END: 0101 BUSINESS ADDRESS: STREET 1: 4221 W. BOY SCOUT BLVD. STREET 2: SUITE 400 CITY: TAMPA STATE: FL ZIP: 33607 BUSINESS PHONE: 813-313-1732 MAIL ADDRESS: STREET 1: 4221 W. BOY SCOUT BLVD. STREET 2: SUITE 400 CITY: TAMPA STATE: FL ZIP: 33607 FORMER COMPANY: FORMER CONFORMED NAME: COTT CORP /CN/ DATE OF NAME CHANGE: 19941017 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-05-04 0 0000884713 Primo Water Corp /CN/ PRMW 0001861116 Melaragni Anne 4221 WEST BOY SCOUT BOULEVARD TAMPA FL 33607 0 1 0 0 Chief Human Resources Officer Common Shares 5416 D Stock Option (right to buy) 14.30 2030-08-24 Common Shares 13554 D Stock Option (right to buy) 15.84 2030-12-09 Common Shares 11817 D Represents (i) 427 shares acquired under the Issuer's Employee Stock Purchase Plan, (ii) 2,622 time-based restricted share units ("RSUs"), which are contingent rights to receive common shares, granted on August 24, 2020, and (iii) 2,367 RSUs granted on December 9, 2020. RSUs that have not been forfeited shall vest in equal one-third installments on each of the first, second and third anniversaries of their respective grant date. Represents an option to purchase 13,554 common shares of Primo Water Corporation, granted on August 24, 2020. The option vests in equal one-third installments on each of the first, second and third anniversaries of the grant date. Represents an option to purchase 11,817 common shares of Primo Water Corporation, granted on December 9, 2020. The option vests in equal one-third installments on each of the first, second and third anniversaries of the grant date. Exhibit List Exhibit 24 - Power of Attorney /s/ Marni Morgan Poe, Attorney-in-Fact 2021-05-07 EX-24.3_983392 2 poa.txt POA DOCUMENT LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS The undersigned hereby appoints each of Marni Morgan Poe and Michael James, signing singly, as her attorney-in-fact to act for her and in her name solely to do all or any of the following: 1. To prepare, execute and file in the undersigned's name and on the undersigned's behalf with the Securities and Exchange Commission any and all statements regarding her beneficial ownership of securities of Primo Water Corporation (including acquisitions or dispositions thereof) in her capacity as an officer of Primo Water Corporation filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 and Form 144 pursuant to Rule 144 under the Securities Act of 1933, as amended ("Rule 144"); 2. To prepare, execute and file in the undersigned's name and on the undersigned's behalf all Canadian Insider Reports and other SEDI filings regarding her beneficial ownership of securities of Primo Water Corporation (including acquisitions or dispositions thereof) in her capacity as an officer of Primo Water Corporation; and 3. To prepare, execute and file all necessary instruments, including applications for Form ID, to carry out and perform any of the powers stated above, and to do any other acts requisite to carrying out such powers. Neither Marni Morgan Poe nor Michael James shall incur any liability to the undersigned for acting or refraining from acting under this power, except for such attorney's own willful misconduct or gross negligence. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is Primo Water Corporation assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, Rule 144, or applicable Canadian securities laws. Any reproduced copy of this signed original shall be deemed to be an original counterpart of this Power of Attorney. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file statements pursuant to Section 16(a) of the Securities Exchange Act of 1934, Rule 144, or applicable Canadian securities laws with respect to the undersigned's beneficial ownership of and transactions in securities of Primo Water Corporation, unless earlier revoked. This Power of Attorney shall terminate with respect to the attorneys-in-fact upon receipt by Marni Morgan Poe or Michael James, as the case may be, from the undersigned of a written notice of revocation of this Power of Attorney. The undersigned shall have the right to revoke this Power of Attorney at any time. IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney this 3rd day of May, 2021. /s/ Anne Melaragni Name: Anne Melaragni