0001209191-22-029656.txt : 20220517
0001209191-22-029656.hdr.sgml : 20220517
20220517163055
ACCESSION NUMBER: 0001209191-22-029656
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220513
FILED AS OF DATE: 20220517
DATE AS OF CHANGE: 20220517
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PRIM BILLY D
CENTRAL INDEX KEY: 0001078296
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31410
FILM NUMBER: 22934982
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET
STREET 2: SUITE 501
CITY: WINSTON SALEM
STATE: NC
ZIP: 27101
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: 1231
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
2022-05-13
0
0000884713
Primo Water Corp /CN/
PRMW
0001078296
PRIM BILLY D
C/O PRIMO WATER CORPORATION
4221 WEST BOY SCOUT BOULEVARD
TAMPA
FL
33607
1
0
0
0
Common Shares
2022-05-13
4
A
0
9560
14.12
A
1088436
D
Common Shares
15887
I
2010 Irrevocable Trust fbo Sarcanda W. Bellissimo
Common Shares
15887
I
2010 Irrevocable Trust fbo Anthony Gray Westmoreland
Common Shares
3177
I
2010 Irrevocable Trust fbo Jager Grayln Dean Bellissimo
Common Shares
3177
I
2010 Irrevocable Trust fbo Joseph Alexander Bellissimo
Common Shares were issued pursuant to the Primo Water Corporation 2018 Equity Incentive Plan in payment of the reporting person's annual
director fee. The number of shares was calculated by dividing $135,000 (the cash amount of the annual director fee) by $14.12 (the closing price
of the Common Shares on the New York Stock Exchange on May 13, 2022).
Balance has been reduced by (1) 1,517 shares to correct an ownership tracking discrepancy, and (2) 38,128 shares to correctly classify such shares as indirectly held in the amounts reported on this Form 4.
15,887 common shares held by 2010 Irrevocable Trust fbo Sarcanda W. Bellissimo (as to which he has shared voting and investment power).
15,887 common shares held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland (as to which he has shared voting and investment power).
3,177 common shares held by the 2010 Irrevocable Trust fbo Jager Grayln Dean Bellissimo (as to which he has shared voting and investment power).
3,177 common shares held by the 2010 Irrevocable Trust fbo Joseph Alexander Bellissimo (as to which he has shared voting and investment power).
/s/ Marni Morgan Poe, Attorney-in-fact
2022-05-17