0001209191-21-069573.txt : 20211214 0001209191-21-069573.hdr.sgml : 20211214 20211214182052 ACCESSION NUMBER: 0001209191-21-069573 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211211 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ausher Jason R CENTRAL INDEX KEY: 0001359955 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31410 FILM NUMBER: 211492273 MAIL ADDRESS: STREET 1: 110 CORPORATE DRIVE, SUITE 10 CITY: PORTSMOUTH STATE: NH ZIP: 03801 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-11 0 0000884713 Primo Water Corp /CN/ PRMW 0001359955 Ausher Jason R 4221 WEST BOY SCOUT BOULEVARD TAMPA FL 33607 0 1 0 0 Chief Accounting Officer Common Shares 2021-12-11 4 F 0 302 17.02 D 40667 D Common Shares 2021-12-11 4 F 0 324 17.02 D 40343 D Represents the number of common shares withheld to satisfy tax obligations due upon the vesting of time-based units granted to the Reporting Person on December 11, 2018. Represents the number of common shares withheld to satisfy tax obligations due upon the vesting of time-based units granted to the Reporting Person on December 11, 2019. /s/ Marni Morgan Poe, Attorney-in-fact 2021-12-14