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