0001628280-23-016231.txt : 20230505
0001628280-23-016231.hdr.sgml : 20230505
20230505200120
ACCESSION NUMBER: 0001628280-23-016231
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230504
FILED AS OF DATE: 20230505
DATE AS OF CHANGE: 20230505
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hass David W.
CENTRAL INDEX KEY: 0001706875
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31410
FILM NUMBER: 23895577
MAIL ADDRESS:
STREET 1: 101 NORTH CHERRY STREET, 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: 1230
BUSINESS ADDRESS:
STREET 1: 1150 ASSEMBLY DR.
STREET 2: SUITE 800
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 813-313-1732
MAIL ADDRESS:
STREET 1: 1150 ASSEMBLY DR.
STREET 2: SUITE 800
CITY: TAMPA
STATE: FL
ZIP: 33607
FORMER COMPANY:
FORMER CONFORMED NAME: COTT CORP /CN/
DATE OF NAME CHANGE: 19941017
4
1
wf-form4_168333126603690.xml
FORM 4
X0407
4
2023-05-04
0
0000884713
Primo Water Corp /CN/
PRMW
0001706875
Hass David W.
1150 ASSEMBLY DRIVE
SUITE 800
TAMPA
FL
33607
0
1
0
0
Chief Financial Officer
0
Common Shares
2023-05-04
4
F
0
375
14.46
D
143150.034
D
Common Shares
48835
I
See footnote
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 May 4, 2020.
Includes 9.174 shares acquired by the reporting person since the date of the reporting persons last report through the Primo Water Corporation Employee Share Purchase Plan and through dividend reinvestment under such plan.
Includes (i) 38,024 shares held by David W. Hass Living Trust, of which reporting person is a trustee, (ii) 3,846 shares held by a Roth IRA for the benefit of the reporting person, (iii) 3,481 shares owned by HB Capital LLC, of which reporting person is a member, (iv) 2,656 shares held by the nieces and nephews of the reporting person through custodial accounts under the Uniform Transfers to Minors Act for which the reporting person is custodian, and (v) 828 shares held through reporting person's spouse. The reporting person may be deemed an indirect beneficial owner of the securities held directly by HB Capital LLC. The reporting person disclaims beneficial ownership of the securities held directly by HB Capital LLC, except to the extent of his pecuniary interest therein.
/s/ Marni Morgan Poe, Attorney-in-Fact
2023-05-05