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Filing Details

Accession Number:: 0001181431-10-055560
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2010-11-15 14:13:37
Reporting Period:: 2010-11-10

Filing Date:: 2010-11-15
Accepted Time:: 2010-11-15 14:13:37
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1365101	Primo Water Corp	PRMW	Wholesale-Groceries, General Line (5141)	300278688

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1078296	D Billy Prim	104 Cambridge Plaza Drive Winston-Salem NC 27104	Chairman, Ceo And President	Yes	Yes	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2010-11-10	114,998	$0.00	1,369,104	No	4	C	Direct
Common Stock	Acquisiton	2010-11-10	102,470	$0.00	1,471,574	No	4	C	Direct
Common Stock	Acquisiton	2010-11-10	239,108	$0.00	1,710,682	No	4	J	Direct
Series B Preferred	Disposition	2010-11-10	5,164,846	$0.00	0	No	4	J	Direct
Common Stock	Acquisiton	2010-11-10	12,500	$0.00	1,723,182	No	4	A	Direct
Common Stock	Acquisiton	2010-11-10	190,000	$12.00	1,913,182	No	4	P	Direct
Common Stock	Acquisiton	2010-11-10	3,241	$0.00	8,032	No	4	J	Indirect	See Footnote
Series B Preferred Stock	Disposition	2010-11-10	70,000	$0.00	0	No	4	J	Indirect	See Footnote
Common Stock	Acquisiton	2010-11-10	4,791	$0.00	4,791	No	4	C	Indirect	See Footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	C	Direct
No	4	C	Direct
No	4	J	Direct
No	4	J	Direct
No	4	A	Direct
No	4	P	Direct
No	4	J	Indirect	See Footnote
No	4	J	Indirect	See Footnote
No	4	C	Indirect	See Footnote

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Series A Preferred Stock	Disposition	2010-11-10	1,200,000	$0.00	114,998	$0.00
Common Stock	Series C Preferred Stock	Disposition	2010-11-10	512,363	$0.00	102,470	$0.00
Common Stock	Series A Preferred Stock	Disposition	2010-11-10	50,000	$0.00	4,791	$0.00

Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
No	4	C	Direct
No	4	C	Direct
No	4	C	Indirect

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	4,791	Indirect	See Footnote
Common Stock	23,957	Indirect	See Footnote
Common Stock	23,957	Indirect	See Footnote
Common Stock	4,791	Indirect	See Footnote
Common Stock	4,791	Indirect	See Footnote

Footnotes

The Series A Preferred Stock converted into the Issuer's common stock at a ratio of approximately 1:0.0958 upon the Issuer's initial public offering on November 10, 2010.
The Series C Preferred Stock converted into the Issuer's common stock at a ratio of approximately 1:0.2000 upon the Issuer's initial public offering on November 10, 2010.
Upon the initial public offering of the Issuer, its board of directors elected to convert 50% of the Issuer's Series B Preferred Stock into common stock at a ratio of approximately 1:0.0926 and redeem the remaining 50% of the Issuer's Series B Preferred Stock. In connection therewith, the 5,164,845 shares of Series B Preferred Stock held by Mr. Prim converted into 239,108 shares of common stock.
Represents a grant of restricted stock to Mr. Prim with a value of $150,000 based on the Issuer's initial public offering price of $12.00 per share awarded by the Issuer's board of directors for Mr. Prim's personal guarantee of certain Issuer indebtedness.
As disclosed in the Issuer's Registration Statement on Form S-1 (File No. 333-165452), Mr. Prim purchased shares of common stock from the underwriters in the initial public offering at $12.00 per share with the after-tax cash proceeds received in connection with the redemption of his Series B Preferred Stock.
Upon the initial public offering of the Issuer, its board of directors elected to convert 50% of the Issuer's Series B Preferred Stock at a ratio of approximately 1:0.0926 and redeem the remaining 50% of the Issuer's Series B Preferred Stock. In connection therewith, the 70,000 shares of Series B Preferred Stock held by Mr. Prim's spouse converted into 3,241 shares of common stock.
Held by Mr. Prim's spouse.
Held by Billy D. Prim Revocable Trust of which Mr. Prim is the sole trustee.
Held by BD Prim, LLC of which Mr. Prim is the sole manager.
Held by 2010 Irrevocable Trust fbo Sarcanda Westmoreland Bellisimo of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Anthony Gray Westmoreland of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Jager Grayln Dean Bellisimo of which Mr. Prim is the sole trustee.
Held by 2010 Irrevocable Trust fbo Joseph Alexander Bellisimo of which Mr. Prim is the sole trustee.