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